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Articles Published Processes
9/22/2026 3:20:34 AM | Browse: 1 | Download: 0
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Received |
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2026-02-28 01:03 |
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Peer-Review Started |
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2026-02-28 01:03 |
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First Decision by Editorial Office Director |
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2026-03-03 09:42 |
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Return for Revision |
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2026-03-03 09:42 |
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Revised |
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2026-03-10 07:04 |
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Publication Fee Transferred |
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2026-03-11 03:28 |
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Second Decision by Editor |
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2026-04-10 02:46 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-04-10 07:47 |
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Articles in Press |
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2026-04-10 07:47 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-09-11 02:31 |
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Publish the Manuscript Online |
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2026-09-22 03:20 |
| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Retrospective Cohort Study |
| Article Title |
Tumor protrusion assessment and clinical integration for enhanced mortality risk prediction in spontaneously ruptured hepatocellular carcinoma
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Wasittee Ajanakitti, Kittipitch Bannangkoon, Teeravut Tubtawee and Natee Ina |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Kittipitch Bannangkoon, Associate Professor, MD, Department of Radiology, Faculty of Medicine, Prince of Songkla University, Kanchanawanit Road, Hat Yai 90110, Songkhla, Thailand. drkittipitch@gmail.com |
| Key Words |
Hepatocellular carcinoma; Tumor rupture; Transarterial chemoembolization; Prognosis; Risk score |
| Core Tip |
Spontaneously ruptured hepatocellular carcinoma carries a high 30-day mortality risk. Current assessment of tumor protrusion remains largely subjective, and existing prognostic models often lack precision in acute settings. This study identifies “protrusion area” (PA) as a superior predictor of early mortality compared to other metrics. We developed the PA-bilirubin-albumin score, which significantly outperforms conventional scoring systems (area under the receiver operating characteristic curve = 0.813). By stratifying patients into three distinct risk groups, the PA-bilirubin-albumin score provides clinicians with a robust, objective tool for rapid bedside decision-making, helping to identify patients who may benefit more from palliative care than from futile aggressive interventions. |
| Publish Date |
2026-09-22 03:20 |
| Citation |
Ajanakitti W, Bannangkoon K, Tubtawee T, Ina N. Tumor protrusion assessment and clinical integration for enhanced mortality risk prediction in spontaneously ruptured hepatocellular carcinoma. World J Gastroenterol 2026; 32(42): 120476
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| URL |
https://www.wjgnet.com/1007-9327/full/v32/i42/120476.htm |
| DOI |
https://doi.org/10.3748/wjg.120476 |
Copyright © 1993-2026 Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA. All rights reserved, including rights relating to text and data mining, AI training, and similar technologies. For open-access content, the applicable copyright and licensing terms govern.