@article{3180571,
    title = "Management of ruptured liver segment IV hepatocellular carcinoma: is
transarterial embolization (TAE) superior to chemoembolization
(TACE)?-the jury is still out",
    author = "Bakopoulos, Anargyros and Koliakos, Nikolaos and Tsilimigras, I, and Diamantis and Schizas, Dimitrios and Moris, Demetrios and Angelopoulos, and Argiris and Spanakos, Spyridon and Spartalis, Eleftherios and Patapis, and Pavlos and Skandalakis, Panagiotis and Troupis, Theodoros",
    journal = "Annals of translational medicine",
    year = "2018",
    volume = "6",
    number = "13, SI",
    publisher = "AME PUBL CO",
    doi = "10.21037/atm.2018.06.01",
    keywords = "Transarterial embolization (TAE); rupture; hepatocellular carcinoma
(HCC)",
    abstract = "HCC rupture is a potentially life-threatening complication owing to
underlying vascular dysfunction and coagulopathy. There is still a
debate in the literature concerning the best approach in patients
presenting in the emergency setting with shock due to spontaneous HCC
rupture. In the current report, we describe the case of a 66-year-old
female patient with ruptured HCC who was treated successfully by
emergency transarterial embolization (TAP) with complete response proved
by gradual shrinkage of the tumor. This impressive complete response
suggests that TAE followed by elective hepatectomy could be an efficient
approach for patients with Child-Pugh class A liver function and
adequate liver remnant. More studies are needed in order to construct
specific guidelines for the treatment of rHCC that will be based on the
disease severity and the patient status."
}