Gandolfi L, Solmi L, Bertoni F, Muratori R, Stasi G
Hepatogastroenterology. 1987 Jun;34(3):100-2.
Recent reports have demonstrated the possibility of using ultrasound to detect hepatocellular carcinomas under 3 cm (small HCC). Our aim was to assess the incidence of small HCC in an Italian ultrasonographic series. Among 17,133 scans of unselected patients, we detected 85 HCC, 9 of which were under 3 cm. All patients had cirrhosis and 6 were HBsAg positive. An echo-guided biopsy was performed in all cases, and the diagnosis was always correct. We conclude that echographic follow-up is warranted in Italy for cases at risk for HCC such as HBsAg+ cirrhotics and patients with chronic aggressive HBsAg+ hepatitis older than 35, in agreement with the reports of Far Eastern authors.
最近的报告已证明利用超声检测3厘米以下肝细胞癌（小肝癌）的可能性。我们的目的是评估一组意大利超声检查病例中小肝癌的发病率。在对17133例未经挑选的患者进行的扫描中，我们检测到85例肝癌，其中9例直径小于3厘米。所有患者均患有肝硬化，6例HBsAg呈阳性。所有病例均进行了超声引导下活检，诊断结果均正确。我们得出结论，根据远东地区作者的报告，在意大利，对有肝癌风险的病例，如HBsAg阳性的肝硬化患者以及年龄超过35岁的慢性活动性HBsAg阳性肝炎患者，进行超声随访是必要的。
