Hepatocellular Carcinoma: Diagnosis, staging, and treatment strategy

被引：24

作者：

Vilana, R. ^{[1
,3
]}

Forner, A. ^{[2
,3
]}

Garcia, A. ^{[1
,3
]}

Ayuso, C. ^{[1
,3
]}

Bru, C. ^{[1
,3
]}

机构：

[1] Hosp Clin Barcelona, CDIC, Serv Radiodiag, Barcelona, Spain

[2] Hosp Clin Barcelona, Inst Enfermedades Digestiv & Metab IMDM, Serv Hepatol, Barcelona, Spain

[3] Univ Barcelona, Hosp Clin, IDIBAPS, CIBERehd,Unidad Oncol Hepaat BCLC Grp, Barcelona, Spain

来源：

RADIOLOGIA | 2010年 / 52卷 / 05期

关键词：

Hepatocellular carcinoma; Ultrasonography; Contrast-enhanced ultrasonography; Computed tomography; Magnetic resonance imaging; Screening; Diagnostic imaging; Biopsy; Tumor treatment;

D O I：

10.1016/j.rx.2010.05.003

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 [临床医学]; 100207 [影像医学与核医学]; 1009 [特种医学];

摘要：

Hepatocellular carcinoma is a tumor with a high incidence and high mortality. These data justify screening programs to enable curative treatments to improve survival rates. Screening the population at risk (mainly patients with cirrhosis of the liver) should include ultrasonographic examination twice yearly. Given the vascular characteristics of hepatocellular carcinoma, it can be detected using dynamic techniques (contrast-enhanced ultrasonography, CT, and MRI). In cases in which the enhancement pattern is not characteristic, these techniques should be complemented with lesion biopsy. Once hepatocellular carcinoma is diagnosed, the tumor is staged, and together with the clinical condition of the patient, the stage will determine the most appropriate treatment strategy in each case. (C) 2009 SERAM. Published by Elsevier Espana, S.L. All rights reserved.

引用

页码：385 / 398

页数：14

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