RECURRENT HEPATOCELLULAR-CARCINOMA - USEFULNESS OF ULTRASONOGRAPHY COMPARED WITH COMPUTED-TOMOGRAPHY AND AFP ASSAY

被引：11

作者：

SHIBATA, T ^{[1
]}

KUBO, S ^{[1
]}

ITOH, K ^{[1
]}

SAGOH, T ^{[1
]}

NISHIMURA, K ^{[1
]}

NAKANO, Y ^{[1
]}

YAMAOKA, Y ^{[1
]}

OZAWA, K ^{[1
]}

KONISHI, J ^{[1
]}

机构：

[1] KYOTO UNIV, SCH MED, DEPT SURG 2, KYOTO 606, JAPAN

来源：

JOURNAL OF CLINICAL ULTRASOUND | 1991年 / 19卷 / 08期

关键词：

HEPATOCELLULAR CARCINOMA; RECURRENCE; ULTRASONOGRAPHY;

D O I：

10.1002/jcu.1870190803

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

Follow-up studies using monitoring with alpha-1-feto protein (AFP), ultrasonography (US), and computed tomography (CT) were carried out in 75 patients who had prior partial hepatectomy for hepatocellular carcinoma (HCC). Recurrence in the remaining liver was confirmed in 31 patients (41.3%) during the 4 month to 3 years 7 month period. Ultrasonography detected recurrence in 29 cases (sensitivity: 93.5%), CT in 26 (83.9%), and AFP assay in 12 (38.7%). In 4 patients, ultrasonography detected four recurrent nodules that CT missed. In 1 patient, two subphrenic nodules were detected with CT but not with ultrasonography. The specificity of US, CT, and AFP assay was 90.9%, 95.5%, and 93.2% respectively. Frequent follow-up study with ultrasonography in combination with CT and AFP assay should be recommended for the early detection of recurrent HCC. Ultrasonography is mandatory for the follow-up of patients with a prior hepatectomy for HCC.

引用

页码：463 / 469

页数：7

共 22 条

[1] HEPATOCELLULAR-CARCINOMA - RECENT ADVANCES IN DIAGNOSIS WITH IODIZED OIL [J].