Life-threatening haemorrhage from a sternal metastatic hepatocellular carcinoma

Chih Yen Chen, Gar Yang Chau, Sang Hue Yen, Yu Hsi Hsieh, Yee Chao, Kwan Hwa Chi, Chung Pin Li, F. Y. Chang, Shou Dong Lee

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Rupture of the tumour is a catastrophic complication of hepatocellular carcinoma. The prognosis in patients with a ruptured hepatocellular carcinoma is usually unfavourable. We describe a 46-year-old man who suffered from visible massive tumour haemorrhage due to a hepatitis B-related hepatocellular carcinoma that metastasized to the sternal bone. The prominent tumour mass was bulging over the anterior chest wall on the sternum of the patient, and bled spontaneously. This episode of life-threatening haemorrhage was stopped by surgical ligation of the bleeding site. Palliative radiotherapy shrank the tumour mass size and prevented further possible bleeding. This is likely to be the first reported case with a visible spontaneous tumour bleeding from a sternal metastatic hepatocellular carcinoma. (C) 2000 Blackwell Science Asia Pty Ltd.

Original languageEnglish
Pages (from-to)684-687
Number of pages4
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume15
Issue number6
DOIs
Publication statusPublished - 2000
Externally publishedYes

Keywords

  • Chest wall
  • Hepatitis B
  • Hepatocellular carcinoma
  • Radiotherapy
  • Sternum
  • Tumour bleeding

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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