Joly J P, Delamarre J, Razafimahaleo A, Sevestre H, Tossou H, Capron J P
Department of Hepatogastroenterology, North Hospital, Amiens, France.
Abdom Imaging. 1993 Fall;18(4):344-6. doi: 10.1007/BF00201778.
We report two cases of occult hepatocellular carcinoma associated with alcoholic cirrhosis, in which the diagnosis of malignancy was respectively established by ultrasound-guided biopsy of umbilical vein and portal vein branch thrombus. When measurement of serum alpha-foetoprotein, and liver ultrasonography and/or computed tomography failed to clearly demonstrate hepatocellular carcinoma, the presence of a thrombosis of the portal vein system is highly suggestive of malignancy, which may be easily confirmed by venous biopsy.
我们报告两例与酒精性肝硬化相关的隐匿性肝细胞癌，其中恶性肿瘤的诊断分别通过超声引导下对脐静脉和门静脉分支血栓进行活检得以确立。当血清甲胎蛋白检测、肝脏超声检查和/或计算机断层扫描未能明确显示肝细胞癌时，门静脉系统血栓形成高度提示恶性肿瘤，通过静脉活检可轻易确诊。
