Early diagnosis and complete surgical

Early diagnosis and complete surgical resection appear to be the only methods of curing hepatic angiosarcoma. However, major hepatectomy remains risky, particularly in cirrhotic patients. Fan mentioned that major hepatectomy is unsafe when ICGR-15 levels are>14%. In the case of our patient, her preoperative ICGR-15 was>30%, but she purchase nebivolol hcl was noncirrhotic and did not present with hepatitis. Although she was at a high risk for postoperative mortality, we still performed this salvaging hepatectomy to prevent further bleeding. After surgery, liver dysfunction was noted, but the patient recovered smoothly. We were concerned that preoperative liver function might be impaired by the tumor occupying the normal liver parenchyma, but the residual liver was relatively healthy. The regeneration of residual normal liver tissue helped her survive postoperative liver decompensation. Because there were no viable alternatives, we concluded that major hepatectomy should be performed, because directional selection is an extensive indication for such a patient with ruptured hepatic angiosarcoma and without obvious signs and symptoms of cirrhosis.
Acknowledgments We express our gratitude to the radiologists and pathologists of Dalin Tzu Chi General Hospital for their support and assistance.