ULTRASONOGRAPHIC SCREENING IN THE EARLY DIAGNOSIS OF HEPATOCELLULAR-CARCINOMA

被引:0
|
作者
CEREZO, FJM [1 ]
PUIG, M [1 ]
NOGUERAS, AM [1 ]
TOMAS, A [1 ]
PAMPLONA, J [1 ]
BALANZO, J [1 ]
ENRIQUEZ, J [1 ]
VILARDELL, F [1 ]
GUARNER, C [1 ]
机构
[1] HOSP SANTA CRUZ & SAN PABLO,SERV PATOL DIGEST,SECC HEPATOL,AVDA S ANTONI M CLARET 167,E-08025 BARCELONA,SPAIN
关键词
HEPATOCELLULAR CARCINOMA; ULTRASOUND; ALPHA-FETOPROTEIN; CHRONIC LIVER DISEASE; EARLY DIAGNOSIS;
D O I
暂无
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The size and the treatment of 135 hepatocellular carcinomas (HCC) has been analyzed, comparing patients diagnosed by a US screening program (group 1) and these diagnosed outside this program (group 2) to determine whether US screening on patients with chronic liver disease is able to diagnose (HCC) at an early stage. alpha-fetoprotein levels above 500 U/ml were considered as diagnostic. Twenty (46.5%) out of 43 patients from group 1 showed a HCC<5 cm. vs. 14/92 (15.2%) in group 2 (p = 0.001). Only 5.9 % of the HCC < 5 cm. showed AFP > 500 U/ml. vs. 29.7 % of the advanced HCC (p = 0.003). 88.3% of patients of group 1 vs. 63% of group 2 received specific treatment for HCC (p=0.002). By means of US screening it is possible to diagnose HCC of smaller size and more susceptible to treatment. AFP is not useful in the early diagnosis of HCC.
引用
收藏
页码:311 / 314
页数:4
相关论文
共 50 条
  • [1] AN EARLY ULTRASONOGRAPHIC SIGN OF HEPATOCELLULAR-CARCINOMA
    MARINGHINI, A
    COTTONE, M
    SCIARRINO, E
    FUSCO, G
    LASETA, F
    MARCENO, MP
    PAGLIARO, L
    [J]. ITALIAN JOURNAL OF GASTROENTEROLOGY, 1986, 18 (04): : 216 - 218
  • [3] RECENT ADVANCES IN ULTRASONOGRAPHIC DIAGNOSIS OF HEPATOCELLULAR-CARCINOMA
    TANAKA, S
    KITAMURA, T
    NAKANISHI, K
    OKUDA, S
    KOJIMA, J
    FUJIMOTO, I
    [J]. CANCER, 1989, 63 (07) : 1313 - 1317
  • [4] EARLY DIAGNOSIS OF HEPATOCELLULAR-CARCINOMA
    BRUIX, J
    TERES, J
    [J]. MEDICINA CLINICA, 1988, 91 (10): : 379 - 381
  • [5] EARLY DIAGNOSIS OF HEPATOCELLULAR-CARCINOMA
    MORENO, SM
    CEJUDO, DR
    [J]. MEDICINA CLINICA, 1994, 102 (01): : 35 - 35
  • [6] EARLY DIAGNOSIS OF HEPATOCELLULAR-CARCINOMA
    OKAZAKI, N
    YOSHINO, M
    YOSHIDA, T
    TAKAYASU, K
    MORIYAMA, N
    MAKUUCHI, M
    YAMAZAKI, S
    HASEGAWA, H
    NOGUCHI, M
    HIROHASHI, S
    [J]. HEPATO-GASTROENTEROLOGY, 1990, 37 (05) : 480 - 483
  • [7] EARLY DIAGNOSIS OF HEPATOCELLULAR-CARCINOMA
    HECHT, Y
    TUBIANA, JM
    GOTHEIL, C
    [J]. GAZETTE MEDICALE, 1988, 95 (10): : 35 - &
  • [8] SCREENING METHODS FOR EARLY DETECTION OF HEPATOCELLULAR-CARCINOMA
    HATTORI, N
    SUGIMOTO, T
    MAKINO, H
    KUMAGAI, M
    UNOURA, M
    TANAKA, N
    KATO, Y
    KOBAYASHI, K
    [J]. HEPATOLOGY, 1983, 3 (05) : 811 - 811
  • [9] SCREENING METHODS FOR EARLY DETECTION OF HEPATOCELLULAR-CARCINOMA
    KOBAYASHI, K
    SUGIMOTO, T
    MAKINO, H
    KUMAGAI, M
    UNOURA, M
    TANAKA, N
    KATO, Y
    HATTORI, N
    [J]. HEPATOLOGY, 1985, 5 (06) : 1100 - 1105
  • [10] HEPATOCELLULAR-CARCINOMA - SEARCH FOR STRATEGIES IN EARLY DIAGNOSIS
    FARINATI, F
    CHIARAMONTE, M
    RUGGE, M
    SALVAGNINI, M
    ZAGOLIN, M
    GUIDO, M
    NACCARATO, R
    [J]. PATHOPHYSIOLOGY OF THE LIVER, 1988, 786 : 217 - 226