超声引导下细针穿刺活检在肝细胞癌诊断中的作用
Role of ultrasound guided fine needle aspiration biopsy in the diagnosis of hepatocellular carcinoma.
作者信息
Sbolli G, Fornari F, Civardi G, Di Stasi M, Cavanna L, Buscarini E, Buscarini L
机构信息
L'Divisione di Medicina, Ospedale di Piacenza, Piacenza, Italy.
出版信息
Gut. 1990 Nov;31(11):1303-5. doi: 10.1136/gut.31.11.1303.
Abstract
In 170 cases of hepatocellular carcinoma, ultrasound showed a high sensitivity in identifying focal liver lesions. Fine needle aspiration biopsy guided by ultrasound yielded a pathological diagnosis in the majority of cases. The advantages of this technique, its high diagnostic yield and low cost, render the older technique of blind percutaneous biopsy using a coarse needle obsolete. Laparoscopy retains its essential role in selected cases. Complementary use of fine needle aspiration biopsy under ultrasound guidance and laparoscopy assures the highest rate of diagnostic accuracy in hepatocellular carcinoma. We confirm the poor sensitivity of alpha fetoprotein.
摘要
在170例肝细胞癌病例中，超声在识别肝脏局灶性病变方面显示出高敏感性。超声引导下的细针穿刺活检在大多数病例中得出了病理诊断。该技术的优势，即高诊断率和低成本，使得使用粗针的老式盲目经皮活检技术过时。腹腔镜检查在特定病例中仍保留其重要作用。超声引导下细针穿刺活检与腹腔镜检查的互补使用确保了肝细胞癌的最高诊断准确率。我们证实甲胎蛋白的敏感性较差。
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本文引用的文献
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