Machida K, Watari T, Hayashi S, Akaike A, Oyama K, Hirakawa K, Jojima Y, Tanaka D
Am J Gastroenterol. 1977;68(3):294-9.
The surgical and liver scintigraphic findings were compared for evaluation of preoperative diagnostic value in 146 cases of gastric carcinoma. Correct diagnosis was found in 95% with a false negative rate of 2.7% and a false positive rate of 27%. In all the false negative cases, the size of all space-occupying lesions within the liver was less than 3 cm. in diameter. In view of the high percentage of correct diagnosis (95%), we believe that the preoperative liver scintigraphy is very useful clinically. Furthermore, we documented that liver metastasis is a late complication of gastric cancer and suggest that new diagnostic tools are needed to assess the presence of nodal metastasis, serosal infiltration and peritoneal dissemination.
对146例胃癌患者的手术和肝脏闪烁扫描结果进行比较，以评估术前诊断价值。正确诊断率为95%，假阴性率为2.7%，假阳性率为27%。在所有假阴性病例中，肝脏内所有占位性病变的直径均小于3厘米。鉴于正确诊断率较高（95%），我们认为术前肝脏闪烁扫描在临床上非常有用。此外，我们记录到肝转移是胃癌的晚期并发症，并建议需要新的诊断工具来评估淋巴结转移、浆膜浸润和腹膜播散的存在情况。
