Chang Y C, Nagasue N, Kimura N, Ota N, Yukaya H
Department of Surgery, Hiroshima Red Cross, Japan.
Clin Radiol. 1988 Nov;39(6):635-8. doi: 10.1016/s0009-9260(88)80077-1.
Eight cases of hepatocellular pseudotumours (HPT) were encountered in 6 years during which time 140 hepatectomies were performed for hepatocellular carcinoma (HCC). All were found during screening of cirrhotic patients. The ultrasonographic pattern of HPT was similar to that of HCC and their correct diagnosis was impossible by ultrasonography alone. A space-occupying lesion in the cirrhotic liver which is detected by ultrasonography but not by computed tomography and angiography may be a hepatocellular pseudotumour. This diagnosis is particularly likely if the serum alpha-fetoprotein level is normal.
在6年期间，共施行140例肝细胞癌肝切除术，其中发现8例肝细胞假瘤（HPT）。所有病例均在肝硬化患者筛查时发现。HPT的超声表现与肝癌相似，仅靠超声检查无法做出正确诊断。肝硬化肝脏内通过超声检查发现但CT和血管造影未发现的占位性病变可能是肝细胞假瘤。如果血清甲胎蛋白水平正常，则这种诊断的可能性尤其大。
