[超声引导下细针穿刺活检诊断肝血管瘤。附114例报告]

[Echo-guided fine-needle biopsy for the diagnosis of hepatic angioma. A report on 114 cases].

作者信息

Caldironi M W, Mazzucco M, Aldinio M T, Paccagnella D, Zani S, Pontini F, De Bellis M E, Rebuffi A G, Costantin G

机构信息

Divisione Medica III, Azienda Ospedale, Padova.

出版信息

Minerva Chir. 1998 Jun;53(6):505-9.

PMID:9774842

Abstract

METHODS

Personal experience with fine-needle aspiration biopsy (FNAB) performed in 114 patients (42 males and 72 females) with hepatic angiomas, in whom imaging techniques did not allow a definite diagnosis, is reported. FNAB was made on 57.9% of the cases for atypical US pattern of the nodule, on 52.6% for a previous cancer history, with both conditions on 10.5%. The procedure was carried out by cyto-assistance for collecting material and a rapid stain diagnosis with an average of 2 biopsies per patient. Diagnostic accuracy was evaluated with following laparoscopy in 25 cases; surgery in 4 cases; angiography in 6 cases and US follow-up for 1 year at least in 78 cases (1 drop-out).

RESULTS

One false-negative and 4 false-positives were detected with an overall accuracy of 96%. Two minor accidents were observed, due to a profuse bleeding of giant angiomas and resolved with medical care.

CONCLUSIONS

Therefore, in case of angiomas larger than 5 cm, the use of laparoscopy after FNAB to control the bleeding and to confirm the diagnosis is suggested.

摘要

方法

报告了对114例肝血管瘤患者（42例男性和72例女性）进行细针穿刺活检（FNAB）的个人经验，这些患者的影像学检查无法做出明确诊断。57.9%的病例因结节的非典型超声表现进行FNAB，52.6%因既往有癌症病史进行FNAB，10.5%的病例两种情况都有。该操作通过细胞辅助收集材料，并进行快速染色诊断，平均每位患者进行2次活检。通过对25例患者进行后续腹腔镜检查、4例患者进行手术、6例患者进行血管造影以及至少78例患者（1例失访）进行1年的超声随访来评估诊断准确性。