彩色多普勒超声在肝细胞癌与转移瘤及血管瘤鉴别诊断中的临床应用价值

Clinical utility of color Doppler sonography in the differentiation of hepatocellular carcinoma from metastases and hemangioma.

作者信息

Lin Z Y, Wang L Y, Wang J H, Lu S N, Chen S C, Chuang W L, Hsieh M Y, Tsai J F, Chang W Y

机构信息

Department of Internal Medicine, Kaohsiung Medical College Hospital, Taiwan, Republic of China.

出版信息

J Ultrasound Med. 1997 Jan;16(1):51-8. doi: 10.7863/jum.1997.16.1.51.

DOI:10.7863/jum.1997.16.1.51

PMID:8979227

Abstract

The clinical utility of color Doppler sonography in the differentiation of hepatocellular carcinoma from metastases and hemangioma was investigated in 72 hepatocellular carcinomas (80 lesions), 30 metastases (82 lesions), and 39 hemangiomas (54 lesions). Overlaps of color patterns were found among hepatocellular carcinoma, metastases and hemangioma. Pulsatile waves from lesions with the basket, vessels within tumor, or spot patterns, or lesions measuring less than 3 cm with detectable signals, did not favor the diagnosis of hemangioma. In conclusion, color Doppler sonography can aid in the differentiation of hepatocellular carcinoma from hemangioma but may be unreliable in the differentiation of hepatocellular carcinoma from hypervascular metastases.

摘要

对72例肝细胞癌（80个病灶）、30例转移瘤（82个病灶）和39例血管瘤（54个病灶）进行了研究，以探讨彩色多普勒超声在肝细胞癌与转移瘤及血管瘤鉴别诊断中的临床应用价值。发现肝细胞癌、转移瘤和血管瘤之间存在血流模式重叠。具有篮状、肿瘤内血管或斑点状血流模式的病灶，或直径小于3cm且有可检测信号的病灶的搏动波，不利于血管瘤的诊断。总之，彩色多普勒超声有助于肝细胞癌与血管瘤的鉴别，但在肝细胞癌与富血管转移瘤的鉴别中可能不可靠。