SMALL (LESS-THAN-OR-EQUAL-TO-3-CM) HEPATIC-LESIONS RESULTS OF SONOGRAPHICALLY GUIDED FINE-NEEDLE BIOPSY IN 385 PATIENTS

被引:36
作者
FORNARI, F
FILICE, C
RAPACCINI, GL
CATURELLI, E
CAVANNA, L
CIVARDI, G
DISTASI, M
BUSCARINI, E
BUSCARINI, L
机构
[1] UNIV PAVIA,OSPED POLICLIN S MATTEO,IRCCS,DIV MALATTIE INFETT,I-27100 PAVIA,ITALY
[2] UNIV CATTOLICA SACRO CUORE,IST CLIN MED,ROME,ITALY
[3] OSPED GEN REG CASA SOLLIEVO SOFFERENZA,DIV GASTROENTEROL,FOGGIA,ITALY
关键词
SMALL HEPATIC LESIONS; ULTRASONICALLY GUIDED FINE-NEEDLE BIOPSY; HEPATOCELLULAR CARCINOMA; ADENOMATOUS HYPERPLASIA;
D O I
10.1007/BF02090383
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Three hundred ninety-five consecutive patients with sonographically detected hepatic lesions 13 cm in diameter were submitted to ultrasonically guided fine-needle biopsy: 24 (6.1%) were less than or equal to 1 cm in diameter; 142 (36%) were between 1.1 and 2 cm, and 229 (57.9%) were between 2.1 and 3 cm in diameter. In the 385 controlled cases, we obtained a cytohistological diagnosis of malignancy in 243 (63.1%): 135 hepatocellular carcinomas, 97 metastases, and 11 hepatic lymphomas. There were 104 true negatives (27%) and 38 false negatives (9.9%). The sensitivity of ultrasonically guided fine needle biopsy in the total series was 86.5%, the specificity 100%, with an overall accuracy of 90.1%. The overall accuracy was higher for lesions between 2.1 and 3 cm in diameter (90%) and was lower for lesions located in the sixth segment (84.6%). The correct diagnosis was obtained in the 83.3% (135/162) of small hepatocellular carcinomas versus 89.8% (97/108) in cases of small metastatic lesions.
引用
收藏
页码:2267 / 2275
页数:9
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