Mörl M
Fortschr Med. 1976 Nov 11;94(32):1876-8.
A review is given on laparoscopic possibilities in the differentiation of tumours of the liver. Benign lesions are rare and usually discovered by chance. Primary cancer of the liver can be verified ante finem in a maximum of 40% of the cases. Characteristic is the endoscopic picture in the case of haemangiosarcoma after arsenic, Thorotrast, vinyl chloride (marked capsular fibrosis, net-like marking, "restless" surface of theliver). All the tumours need to be confirmed histologically. A tumour-like appearance is presented by echinococcus alveolaris and coarse-nodular granulomatous changes (sarcoidosis, lymphogranulomatosis, etc.).
本文综述了腹腔镜在肝脏肿瘤鉴别诊断中的应用可能性。良性病变罕见,通常偶然发现。原发性肝癌在最多40%的病例中可在死前得到确诊。肝血管肉瘤在接触砷、钍造影剂、氯乙烯后内镜下有特征性表现(明显的包膜纤维化、网状标记、肝脏“不平静”表面)。所有肿瘤均需组织学确诊。肺泡型棘球蚴病及粗大结节性肉芽肿性改变(结节病、淋巴肉芽肿病等)可呈现肿瘤样外观。