Hepatic tumors in Saudi Arabia. A practical approach to diagnosis.

摘要: All cases of liver tumor referred to the King Faisal Specialist Hospital and Research Centre in Saudi Arabia during 2.5 years were reviewed. Hepatocellular carcinoma, 104 cases, was considerably more common than metastatic carcinoma with unknown primary, 15 cases. Lymphoma presenting as occurred three there no cholangiocarcinoma. There only two benign tumor, both hemangioma. characterized by a male predominance 6:1, positive hepatitis B surface antigen 60%, presentation an enlarged, hard over 90%, systolic-diastolic bruit mass 45%, single highly echogenic lesion right lobe on ultrasound 80%, rapid progression. The serum AST (aspartate aminotransferase, serumglutamic oxalacetic transaminase [SGOT]) abnormal 97% higher alanine aminotransferase (ALT) 93% compared 17% 100 consecutive chronic active hepatitis. Sixty-six percent patients hepatocellular had AFP greater 200 ng/ml. Excluding five germ cell (none involving liver), pregnant patients, less ng/ml all other whom it measured between 1979 1981. A practical approach diagnosis is outlined. Biopsy does not appear be indicated many advanced carcinoma.