Nufer M, Stuckmann G, Decurtins M
Chirurgische Klinik, Kantonsspital Winterthur.
Schweiz Med Wochenschr. 1999 Sep 4;129(35):1257-64.
Advances in abdominal imaging technology in the past 20 years and their widespread application have improved the detection of benign liver tumours. The three most common tumours of this type are hepatic adenoma, focal nodular hyperplasia and haemangioma. Besides these three, other benign tumours of the liver are less important because of their rarity. Diversity of and technical advances in imaging technology make the choice of diagnostic approach difficult. Ideally, a test should be non-invasive, low-risk and commonly available, with high specificity and sensitivity. Therefore, we use sonography as a screening method and MRI as a secondary diagnostic procedure. The value of diagnostic procedures is discussed. Therapy and outcome of each tumour is outlined.
过去20年腹部成像技术的进步及其广泛应用提高了肝脏良性肿瘤的检出率。这类最常见的三种肿瘤是肝腺瘤、局灶性结节性增生和肝血管瘤。除了这三种,其他肝脏良性肿瘤因罕见而不太重要。成像技术的多样性和技术进步使得诊断方法的选择变得困难。理想情况下,一项检查应该是非侵入性的、低风险的、普遍可用的,并且具有高特异性和高敏感性。因此,我们将超声检查用作筛查方法,将磁共振成像用作二级诊断程序。文中讨论了诊断程序的价值。概述了每种肿瘤的治疗方法和结果。