Saar B, Kellner-Weldon F
Institute of Diagnostic, Interventional and Pediatric Radiology, University of Berne Inselspital, Bern, Switzerland.
Liver Int. 2008 Feb;28(2):189-99. doi: 10.1111/j.1478-3231.2007.01655.x.
Treatment of hepatocellular carcinomas (HCC) is often complicated by the fact that early HCCs are mostly asymptomatic and the carcinoma is often discovered at an advanced stage. The aim of diagnostic imaging is to detect HCC at an early stage, when curative options are available. In recent years, there have been many efforts to improve early detection of small HCC. The purpose of this article is to describe the pertinent findings of HCCs in non-invasive, diagnostic imaging, including ultrasound, computed tomography, as well as modern magnetic resonance imaging techniques. Special emphasis is given to the frequently addressed difficulties of differentiation of precancerous lesions and small HCCs. A non-invasive diagnostic approach is considered with a review of the literature.
肝细胞癌（HCC）的治疗常常因以下事实而变得复杂：早期HCC大多没有症状，且该癌症往往在晚期才被发现。诊断成像的目的是在有治愈选择的早期阶段检测出HCC。近年来，人们为改善小HCC的早期检测做出了许多努力。本文旨在描述HCC在非侵入性诊断成像中的相关发现，包括超声、计算机断层扫描以及现代磁共振成像技术。特别强调了癌前病变和小HCC鉴别中经常遇到的困难。本文通过文献综述对一种非侵入性诊断方法进行了探讨。
