미소간암의 조기진단을 위한 임상적 경험보고 = Clinical Experience for Early Detection of Hepatocellular Caricinoma미소간암의 조기진단을 위한 임상적 경험보고

다국어 초록 (Multilingual Abstract)

We performed clinical study about patients with chronic hepatic disease who had small hepatic nodule less than 3 cm in diameter in real time ultrasonography. 18 cases, that is 9 cases of liver cirrhosis, 5 cases of chronic hepatitis and 3 patients with had a history of type B viral hepatitis were included in this study. Sono-guided aspiration cytology and serum a-FP measurement in all subjects, celiac angiography in 6 cases and abdominal CT scan in 2 cases was performed. In 4 patients with compatible findings of HCC (hepatocellular carcinoma) in celiac angiography, 3 gave positive result in aspiration cytology but 1 gave negative result. In 2 patients with compatible findings of hemangioma in celiac angiography, all showed dysplastic hepatocytes in aspiration cytology and echogenic nodule in ultrasonography. In 3 patients with small HCC confirmed by surgery, abdominal CT scan couldn't discover the mass and in a patients with hemangioma confirmed by surgery, abdominal CT scan could discover the mass, but the nature of the mass couldn't be well defined. Among 4 cases of cytologically confirmed hepatoma, only 2 cases had significantly elevated α-FP level.