HCC nodules rupture

Saturday, March 29, 2008 · Posted in

Primary liver cancer spontaneous bleeding is more common serious liver cancer complications Occurrence rate of 9% -22.6% incidence More radical, dangerous conditions, poor prognosis, early diagnosis timely treatment to improve the prognosis of patients have some help. Spontaneous bleeding liver cancer mechanism is not yet completely clear. Most scholars believe that the tumor is directly because of violations so that the outflow channel vein obstruction caused portal hypertension, which led to bleeding and rupture. Overall, the following factors may be relevant: a high degree of malignant liver cancer, a fast growing, leading to tumor relative insufficiency, resulting in Center ischemia, necrosis and liquefaction. If this mass volume increased too fast, and tumor capsule not extended, could lead to tumor surface caused bleeding liver cancer ischemia, necrosis and secondary infection, can also lead to bleeding; direct violation of liver tumors blood vessels, leading to bleeding blood vessels; portal vein tumor thrombus embolization was after some superficial tumor surrounding emerging nutrition obstacles necrosis.can lead to bleeding. Liver tumors in superficial location at the surface, vulnerable to external shocks, low coated with tumor cancer is a very fragile bleeding reasons.
Most patients with acute abdominal pain treatment. Beginning mostly upper abdominal pain, sudden, accounting for around 95%, with the condition can be progressive development of the entire abdomen, and more with dizziness. A cold sweat. Nausea, vomiting, and other manifestations. Spontaneous bleeding in liver cancer when , Also is confined to the upper abdominal pain, and relatively minor, this may be superficial location in the small liver cancer nodules rupture, less bleeding, bleeding is confined to the liver capsule, said liver subcapsular hemorrhage . Most patients can have was pale, cold extremities, a cold sweat, the breakdown of the pulse, blood pressure dropped. Ruptured abdominal tenderness depending on the extent of cancer varies rupture of small mouth, the small amount of bleeding, abdominal tenderness can be confined to the lesion or tenderness not obvious; rupture mouth, more than amount of bleeding, abdominal tenderness to a full, and some patients may have anti- and abdominal tension, its causes bile duct may be a small rupture of the abdominal cavity to stimulate bile flow caused by peritoneum. When large amount of bleeding, visible abdominal, abdominal was really sound, mobility voiced positive,Music reduce or disappear as blood hemoglobin checks have decreased, the total number of leukocytes and neutrophils increased. Wearing diagnostic abdominal bleeding on the liver cancer diagnosis has important significance, and often can not wear the coagulation of the blood. Ultrasound diagnosis of those cases will make it difficult to have an extremely important role, it is clear diagnosis.

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