摘要
本文复习经B型超声、CT及AFP诊为小肝肿瘤36侧,内肝细胞癌23例,海绵状血管瘤11例,转移癌2例。肿瘤最大径<3cm者14例,3—5cm22例,位于右肝叶22例,左肝叶14例。 CT对肝细胞癌和肝转移癌的诊断准确率为100％,对肝海绵状血管瘤的准确率为72.7％;B型超声为81.8％。AFP在23例肝细胞癌的阳性率为66.6％。 本文介绍了在术中不能看见或不能触到的小肝肿瘤的寻找方法,7例由此发现而顺利作了切除术,计肝细胞癌4例,海绵状血管瘤2例,转移癌1例。
Thirty six patients with small liver tumor diagnosed by ultrasonography, CT and AFP were resected in our hospital. There were 23 hepatocellular carcinomas,11 cavernous hemangiomas and 2 metastatic tumors. Diameter of the tumor nodule was less than 3 cm in 14 cases, 3-5 cm in 22 cases. Involvement of the right hepatic lobe was noted in 22 cases, left hepatic lobe in 14 cases. The diagnostic accuracy rate of CT was 100% for all malignant tumors, however for cavernous hemangioma it was 72.7%. Ultrasonography yielded positive rate 60.4% for HCC and 81.8% for hemangioma.AFP Positive rate for HCC was 66.6%The author emphasizes the importance of scrutinizing the CT scan film and through bimanual palpation during operation when no tumor is apparent. In this way 7 cases in this series were detected and resected.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1991年第1期11-13,共3页
Chinese Journal of Clinical Oncology
关键词
小肝肿瘤
术中定位
超声诊断
Small liver tumor Intraoperative localization Ultrasonography
