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Hepatocellular Carcinoma with Duodenal Invasion--Report of one case

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題名:Hepatocellular Carcinoma with Duodenal Invasion--Report of one case 作者:陳俊男; 連吉時; 鄭勇山; 潘憲; 陳盛?; 劉正典; 張君照; 林 時宜; 粟發滿; 蘇順景 貢獻者:醫學系內科學科 上傳時間:2009-10-06T04:09:07Z

摘要:Gastrointestinal hemorrhage in patients with hepatocellular carcinoma is common and a major

contributor to mortality. These patients tend to have a very poor prognosis. This report describes five such cases in which gastrointestinal bleeding was one of the presenting problems and required urgent management. The causes of massive intermittent gastrointestinal bleeding were variceal (two cases), direct invasion of the

duodenum (one case), transverse colon (one case), and stomach (one case). All five patients were inoperable because of locally advanced disease, poor general

condition, or comorbid disorders and were managed with angioembolization. After transcatheter embolization, the bleeding stopped completely in two patients and was

reduced significantly in the remaining three. We report the role of transhepatic arterioembolization in the management of gastrointestinal bleed in such patients, and we recommend its use more often in similar

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