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[腹腔镜检查在诊断铁粒幼细胞性肝硬化合并肝细胞癌中的意义]

[Significance of laparoscopy in the diagnosis of hepatocellular carcinoma in siderocirrhosis].

作者信息

Holzberg R, Schmidt W, Wildhirt E

出版信息

Leber Magen Darm. 1983 May;13(3):104-7.

PMID:6328140
Abstract

A case report is given of a patient with liver cirrhosis caused by hemosiderosis, who developed liver carcinoma. In such patients liver carcinoma can only be excluded by means of peritoneoscopy. Sonography, computer tomography and laboratory findings will not allow to make the correct diagnosis, because of the particular nature of liver changes in hemosiderosis of the liver, as can be seen in our case. Thus none of the non-invasive procedures mentioned above are suited for early diagnosis of malignant liver disease because of the special morphological features in hemosiderosis of the liver.

摘要

报告了一例由血色素沉着症引起肝硬化并发展为肝癌的患者。对于此类患者,只能通过腹腔镜检查排除肝癌。由于肝血色素沉着症中肝脏变化的特殊性质,如我们病例所示,超声检查、计算机断层扫描和实验室检查结果均无法做出正确诊断。因此,由于肝血色素沉着症的特殊形态特征,上述任何一种非侵入性检查方法都不适合早期诊断肝脏恶性疾病。

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