Matter D, Ventre G, Derlon A, Ollier J C, Arnaud J P
Service de Radiologie, Centre Hospitalier Universitaire, Strasbourg.
Gastroenterol Clin Biol. 1988 Jun-Jul;12(6-7):512-5.
This retrospective study was undertaken to assess the place and efficacy of ultrasonography, and ultrasound-guided biopsy in the diagnosis of hepatocellular carcinoma in a series of 34 patients. The sonographic signs were not specific, as tumor patterns were very different from one case to another; there were no pathognomonic signs of hepatocellular carcinoma in comparison with hepatic metastases. Tissue characterization of the liver abnormalities was obtained by percutaneous ultrasound-guided biopsies. In our experience, ultrasonography has a double role: demonstration of hepatic nodules, particularly in high risk patients (cirrhosis); histologic identification of the nodules by ultrasound-guided biopsy.
本回顾性研究旨在评估超声检查及超声引导下活检在34例肝细胞癌诊断中的地位和疗效。超声征象不具有特异性，因为肿瘤形态在不同病例间差异很大；与肝转移瘤相比，不存在肝细胞癌的特征性征象。通过经皮超声引导下活检获取肝脏异常的组织特征。根据我们的经验，超声检查具有双重作用：显示肝结节，尤其是在高危患者（肝硬化）中；通过超声引导下活检对结节进行组织学鉴定。
