肝细胞癌的早期诊断：超声引导下细针穿刺活检的效用
Early diagnosis of hepatocellular carcinoma: usefulness of ultrasonically guided fine-needle aspiration biopsy.
作者信息
Tanaka S, Kitamura T, Kasugai H, Okano Y, Tatsuta M, Okuda S
出版信息
J Clin Ultrasound. 1986 Jan;14(1):11-6. doi: 10.1002/jcu.1870140104.
The results of various diagnostic procedures performed on six cases with solitary and minimal (less than 2 cm) hepatocellular carcinoma (HCC) that was later surgically resected were comparatively reviewed. The tumor was detected in 6/6 patients by ultrasonography, 1/6 by scintigraphy, 2/6 by CT, and 4/6 by angiography, and hepatocellular carcinoma was diagnosed in 3/6 by angiography and 6/6 by ultrasonically guided fine-needle aspiration biopsy. Since there are not a few HCCs that can be detected only by ultrasonography, fine-needle aspiration biopsy with ultrasound guidance is strongly recommended to confirm cases with a minimal lesion in the liver visualized only on a sonogram.
对6例孤立性小肝癌（直径小于2cm）进行了各种诊断检查，这些病例随后接受了手术切除，并对结果进行了比较回顾。6例患者中，超声检查均检测到肿瘤，闪烁扫描法检测到1例，CT检测到2例，血管造影检测到4例；血管造影确诊3例肝细胞癌，超声引导下细针穿刺活检确诊6例。由于不少肝细胞癌仅能通过超声检测到，因此强烈建议在超声引导下进行细针穿刺活检，以确诊仅在超声图像上可见的肝脏微小病变病例。
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