ACCURACY OF ANGIOGRAPHY IN THE DIAGNOSIS OF SMALL HEPATOCELLULAR-CARCINOMA
ACCURACY OF ANGIOGRAPHY IN THE DIAGNOSIS OF SMALL HEPATOCELLULAR-CARCINOMA
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DOI：
10.2214/ajr.147.3.531
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发表时间：
1986-09-01
影响因子：
5
通讯作者：
HIROOKA, N
中科院分区：
文献类型：
--
作者：
SUMIDA, M;OHTO, M;HIROOKA, N
对51例直径小于5cm的肝癌患者进行了常规肝动脉造影和超选择灌注肝动脉造影，并对不同时相的造影结果进行了分析。在小于40 mm的癌症中，特别是在小于20 mm的癌症中，毛细血管相中的所谓肿瘤染色是在大多数但不是所有病例中观察到的唯一异常。在肿瘤染色中，在大多数情况下有未染色的区域，切除标本的组织学检查显示它们是由于坏死、纤维化或脂肪变化。染色的均匀性和形状似乎与肿瘤的生长速度和侵袭性有关。虽然血管造影对小肝癌的诊断价值很高，但超超选择灌注肝动脉造影在11例非酒精性肝硬化对照病例中有7例出现结节状染色，这使得肿瘤染色和肝硬化增生结节染色的鉴别诊断变得困难。
Conventional hepatic arteriography combined with superselective infusion arteriography was carried out in 51 patients with hepatocellular carcinoma smaller than 5 cm, and angiograms of varying phases were analyzed. In cancers smaller than 40 mm, particularly in those smaller than 20 mm, so-called tumor stain in the capillary phase was the only abnormality seen in most but not all cases. Within a tumor stain, there were unstained areas in most cases and histologic examination in resected specimens showed them to be due to either necrosis, fibrosis, or fatty changes. Homogeneity and shape of the stain seemed to be related to growth speed and invasiveness of the cancer. Although overall diagnostic value of angiography for small hepatocellular carcinoma was high, super-superselective infusion hepatic arteriography produced nodular stains in 7 of 11 control cases of nonalcoholic cirrhosis without cancer, making difficult the differential diagnosis between stains due to tumors and those due to hyperplastic nodules of cirrhosis.