Roget L, Richard P, Selles M, Coppéré H, Barthélémy C, Veyret C, Audigier J C
Service de Gastro-entérologie et d'Hépatologie, CHRU de Saint-Etienne, Hôpital Nord, Saint-Priest-en-Jarez.
J Radiol. 1989 Feb;70(2):75-8.
Ultrasonically guided fine needle aspiration biopsy cytologies (external diameter inferior to 1 mm) were carried out in 28 patients with proved hepatocellular carcinoma. In all cases, the diagnosis of malignant involvement of the liver was firmly established by cytological examination. A correct diagnosis of hepatocellular carcinoma was made in 26 of 28 patients (sensitivity = 93%). The specificity of the procedure was 100%. No complications were observed. The present study shows that fine needle aspiration biopsy under ultrasound guidance is a safe and accurate diagnostic procedure in hepatocellular carcinoma even associated with cirrhosis.
对28例已确诊为肝细胞癌的患者进行了超声引导下细针穿刺活检细胞学检查（外径小于1毫米）。在所有病例中，通过细胞学检查均明确诊断为肝脏恶性受累。28例患者中有26例正确诊断为肝细胞癌（敏感性=93%）。该检查方法的特异性为100%。未观察到并发症。本研究表明，超声引导下细针穿刺活检对于肝细胞癌甚至合并肝硬化的患者而言，是一种安全且准确的诊断方法。
