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Radiological imagings of small hepatocellular carcinomas

Journal Article:

Abstract

Forty three cases of small hepatocellular carcinoma (measuring less than 3 cm in diameter on imaging modalities) were detected during a period of four years and two months. There were two cases in which hepatoma measured 1 cm in diameter, twenty four cases between 1 and 2 cm, and seventeen cases between 2 and 3 cm. The relative role of each modality and AFP value in the detection of these tumors was evaluated. The detection rate of small hepatocellular carcinoma by liver scintigraphy, ultrasonography (US), computed tomography (CT) and angiography was 8%, 74%, 70% and 95%, respectively. The sensitivity of serum AFP value was 67% (either measuring more than 200ng/ml or showing a tendency of steady rising even if below the level of 200ng/ml). Most hepatomas less than 2 cm in size were hypoechoic on US, and those above 2 cm in size were hyperechoic with peripheral sonolucency (halo). Almost all cases were described as low density area on both plain and enhancement CT. Angiography was the best method for detecting small hepatomas. It may be recommended to perform angiography on every patient with liver cirrhosis at the time of diagnosis of this disease. Periodic examinations by AFP, US and  More>>
Authors:
Miyake, Hidetoshi; Hayashi, Kuniaki; Futagawa, Sakae; Matsunaga, Naofumi; Maeda, Tohru [1] 
  1. Nagasaki Univ. (Japan). School of Medicine
Publication Date:
Aug 01, 1984
Product Type:
Journal Article
Reference Number:
AIX-16-038413; EDB-85-126419
Resource Relation:
Journal Name: Danso Satsueiho Kenkyukai Zasshi; (Japan); Journal Volume: 12:1
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; HEPATOMAS; DIAGNOSIS; LIVER; BIOMEDICAL RADIOGRAPHY; SCINTISCANNING; ULTRASONOGRAPHY; CAT SCANNING; COMPARATIVE EVALUATIONS; IMAGES; PATIENTS; PROTEINS; SENSITIVITY; TECHNETIUM 99; BETA DECAY RADIOISOTOPES; BETA-MINUS DECAY RADIOISOTOPES; BODY; COMPUTERIZED TOMOGRAPHY; COUNTING TECHNIQUES; DIAGNOSTIC TECHNIQUES; DIGESTIVE SYSTEM; DISEASES; GLANDS; HOURS LIVING RADIOISOTOPES; INTERMEDIATE MASS NUCLEI; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; MEDICINE; NEOPLASMS; NUCLEAR MEDICINE; NUCLEI; ODD-EVEN NUCLEI; ORGANIC COMPOUNDS; ORGANS; RADIOISOTOPE SCANNING; RADIOISOTOPES; RADIOLOGY; TECHNETIUM ISOTOPES; TOMOGRAPHY; YEARS LIVING RADIOISOTOPES; 550602* - Medicine- External Radiation in Diagnostics- (1980-); 550601 - Medicine- Unsealed Radionuclides in Diagnostics; 550600 - Medicine
OSTI ID:
5644059
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: CODEN: DSKZD
Submitting Site:
HEDB
Size:
Pages: 27-34
Announcement Date:
May 01, 1985

Journal Article:

Citation Formats

Miyake, Hidetoshi, Hayashi, Kuniaki, Futagawa, Sakae, Matsunaga, Naofumi, and Maeda, Tohru. Radiological imagings of small hepatocellular carcinomas. Japan: N. p., 1984. Web.
Miyake, Hidetoshi, Hayashi, Kuniaki, Futagawa, Sakae, Matsunaga, Naofumi, & Maeda, Tohru. Radiological imagings of small hepatocellular carcinomas. Japan.
Miyake, Hidetoshi, Hayashi, Kuniaki, Futagawa, Sakae, Matsunaga, Naofumi, and Maeda, Tohru. 1984. "Radiological imagings of small hepatocellular carcinomas." Japan.
@misc{etde_5644059,
title = {Radiological imagings of small hepatocellular carcinomas}
author = {Miyake, Hidetoshi, Hayashi, Kuniaki, Futagawa, Sakae, Matsunaga, Naofumi, and Maeda, Tohru}
abstractNote = {Forty three cases of small hepatocellular carcinoma (measuring less than 3 cm in diameter on imaging modalities) were detected during a period of four years and two months. There were two cases in which hepatoma measured 1 cm in diameter, twenty four cases between 1 and 2 cm, and seventeen cases between 2 and 3 cm. The relative role of each modality and AFP value in the detection of these tumors was evaluated. The detection rate of small hepatocellular carcinoma by liver scintigraphy, ultrasonography (US), computed tomography (CT) and angiography was 8%, 74%, 70% and 95%, respectively. The sensitivity of serum AFP value was 67% (either measuring more than 200ng/ml or showing a tendency of steady rising even if below the level of 200ng/ml). Most hepatomas less than 2 cm in size were hypoechoic on US, and those above 2 cm in size were hyperechoic with peripheral sonolucency (halo). Almost all cases were described as low density area on both plain and enhancement CT. Angiography was the best method for detecting small hepatomas. It may be recommended to perform angiography on every patient with liver cirrhosis at the time of diagnosis of this disease. Periodic examinations by AFP, US and CT should be done if the angiography was negative. Evaluation by US in every three months and by CT in every twelve months may be appropriate.}
journal = {Danso Satsueiho Kenkyukai Zasshi; (Japan)}
volume = {12:1}
journal type = {AC}
place = {Japan}
year = {1984}
month = {Aug}
}