Das hochdifferenzierte primäre Leberzellkarzinom
Autor: | G. von Klinggräff |
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Rok vydání: | 2008 |
Předmět: |
medicine.medical_specialty
Cirrhosis medicine.diagnostic_test business.industry Hepatic tumour medicine.disease Malignancy Gastroenterology digestive system diseases Internal medicine Hepatocellular carcinoma Angiography medicine Carcinoma Radiology Nuclear Medicine and imaging Risk factor business Alpha-fetoprotein |
Zdroj: | Ultraschall in der Medizin. 10:115-118 |
ISSN: | 1438-8782 0172-4614 |
DOI: | 10.1055/s-2007-1005974 |
Popis: | The hepatocellular carcinoma (HCC) is the most frequently occurring primary hepatic tumour. Particular difficulties in diagnosis are encountered with the highly differentiated carcinoma. The imaging processes are of varying rank. Sonography and CT--and with some restrictions also scintigraphy--can represent focal findings in the liver with the highest degree of safety. With the highly differentiated tumour, angiography is less helpful, since it does not supply safe criteria of malignancy. Alpha-fetoprotein (AFP) is not a reliable parameter in case of a small highly differentiated carcinoma. Nevertheless, cirrhosis patients with the greatest risk factor (HBV, haemochromatosis and long-standing alcohol-conditioned cirrhosis of many years) should be followed up and controlled by sonography and AFP determination every 6 months. |
Databáze: | OpenAIRE |
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