The value of ultrasound in the diagnosis and treatment of small hepatocellular carcinoma

作者: T. Kanematsu , T. Sonoda , K. Takenaka , T. Matsumata , K. Sugimachi

DOI: 10.1002/BJS.1800720111

关键词: AsymptomaticUltrasonographyUltrasoundOperative mortalityRadiologyLiver cancerSurgeryMedicineStage (cooking)OccultHepatocellular carcinoma

摘要: Thirty-two patients with a solitary hepatocellular carcinoma of less than 4 cm diameter were treated during the 13 years from 1971 to 1983, two-thirds them since 1981. Serum alpha-fetoprotein levels proved be an excellent diagnostic tool for these early stage carcinomas which are generally asymptomatic. Ultrasonography forms invaluable test detection occult liver cancer and has enhanced ability detect small sized lesions. The accuracy this method increased 25 per cent period 1971-1980 89 1981-1983. cumulative survival rates 32 by hepatic resection at 1, 2 5 85, 70 22.2 (excluded figures four operative deaths giving 12.5 mortality).

参考文章(17)
HECTOR M. CAMERON, THE PATHOLOGY OF LIVER CELL CANCER Liver Cell Cancer. pp. 17- 43 ,(1976) , 10.1016/B978-0-444-41542-4.50006-7
WilliamL. Heyward, ThomasR. Bender, Steven Kilkenny, KathyT. Kline, AnneP. Lanier, BrianJ. McMahon, TedR. Paprocki, DianaR. Silimperi, JamesE. Maynard, EARLY DETECTION OF PRIMARY HEPATOCELLULAR CARCINOMA BY SCREENING FOR ALPHA-FETOPROTEIN IN HIGH-RISK FAMILIES: A Case-report The Lancet. ,vol. 322, pp. 1161- 1162 ,(1983) , 10.1016/S0140-6736(83)91214-X
D.S. Chen, J.C. Sheu, J.L. Sung, M.Y. Lai, C.S. Lee, C.T. Su, Y.M. Tsang, S.W. How, T.H. Wang, J.Y. Yu, T.H. Yang, C.Y. Wang, C.Y. Hsu, Small Hepatocellular Carcinoma—A Clinicopathological Study in Thirteen Patients Gastroenterology. ,vol. 83, pp. 1109- 1119 ,(1982) , 10.1016/S0016-5085(82)80081-4
YEHUDA G. ADAM, ANDREW G. HUVOS, JOSEPH G. FORTNER, Giant hemangiomas of the liver. Annals of Surgery. ,vol. 172, pp. 239- 245 ,(1970) , 10.1097/00000658-197008000-00010
E. L. Kaplan, Paul Meier, Nonparametric Estimation from Incomplete Observations Springer Series in Statistics. ,vol. 53, pp. 319- 337 ,(1992) , 10.1007/978-1-4612-4380-9_25
Martin A. Adson, Louis H. Weiland, Resection of primary solid hepatic tumors American Journal of Surgery. ,vol. 141, pp. 18- 21 ,(1981) , 10.1016/0002-9610(81)90005-2
R Yamada, M Sato, M Kawabata, H Nakatsuka, K Nakamura, S Takashima, Hepatic artery embolization in 120 patients with unresectable hepatoma. Radiology. ,vol. 148, pp. 397- 401 ,(1983) , 10.1148/RADIOLOGY.148.2.6306721
Takashi Kanematsu, Kenji Takenaka, Takashi Matsumata, Toshiya Furuta, Keizo Sugimachi, Kiyoshi Inokuchi, Small liver cancer. Surgery Today. ,vol. 13, pp. 32- 36 ,(1983) , 10.1007/BF02469687
H. HILARY THOMPSON, RONALD K. TOMPKINS, WILLIAM P. LONGMIRE, Major hepatic resection. A 25-year experience. Annals of Surgery. ,vol. 197, pp. 375- 388 ,(1983) , 10.1097/00000658-198304000-00001
Takashi Kanematsu, Keizo Sugimachi, Hitoshi Kohno, Takashi Matsumata, Michio Kobayashi, Kiyoshi Inokuchi, Minute liver cancer and concomitant esophageal varices: Detection and successful surgical treatment World Journal of Surgery. ,vol. 5, pp. 707- 711 ,(1981) , 10.1007/BF01657932