Dang Quang Hung1,#, Nguyen-Thi Nhan1, Trinh-Thi Phuong Nga1, Nguyen Thanh Hai1, Nguyen Quang Duc1, Nguyen Viet Thu1, Nguyen Truong Duc1, Dinh-Van Thuyet1, Nguyen Minh Duc2,#,*,ORCID
Oncologie, Vol.23, No.4, pp. 603-608, 2021, DOI:10.32604/oncologie.2021.019519
Abstract Metastatic spread of hepatocellular carcinoma (HCC) to the spleen is uncommon, only occurring in approximately 1% of cases. Atraumatic splenic rupture due to HCC metastasis is extremely rare and affects patient prognosis, clinical management, and mortality. We report a case of a 65-year-old man with a history of chronic
hepatitis B infection who presented with left-sided abdominal pain and fatigue. Clinical examination showed
acute anemia with elevated levels of serum alpha-fetoprotein (AFP) and protein induced by vitamin K absence
(PIVKA-II). On ultrasound and computed tomography imaging, hemoperitoneum caused by a ruptured splenic
tumor was revealed. In addition to multiple hepatic… More >
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