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Ultrasonographic and radionuclide detection of hepatocellular carcinoma in cirrhotics with low alpha-fetoprotein levels.
Cancer ; 54(12): 2924-6, 1984 Dec 15.
Article em En | MEDLINE | ID: mdl-6208995
A total of 67 cirrhotic patients with clinically suspected neoplastic degeneration and low alpha-fetoprotein levels were assessed prospectively with ultrasound and gold (198Au) scintigraphy. Ultrasound showed space-occupying lesions in 22 of the 24 patients who had a final diagnosis of hepatocellular carcinoma (HCC) (sensitivity, 95.8%) and excluded the presence of HCC in 37 of the 43 patients with cirrhosis only (specificity, 86.0%; efficiency, 90.8%). Scintigraphy demonstrated a cold defect in 22 of the 24 patients who had a final diagnosis of HCC (sensitivity, 95.8%) and excluded the presence of HCC in 22 of the 43 patients with cirrhosis only (specificity, 51.1%; efficiency, 69.8%). It was concluded that the most accurate screening plain in cirrhotic patients suspected of having HCC with alpha-fetoprotein values below 500 ng/ml would consist of ultrasonography followed, as clinically indicated, by ultrasonographic or laparoscopic guided biopsy.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Alfa-Fetoproteínas / Ultrassonografia / Carcinoma Hepatocelular / Cirrose Hepática / Neoplasias Hepáticas Tipo de estudo: Diagnostic_studies Limite: Female / Humans / Male Idioma: En Ano de publicação: 1984 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Alfa-Fetoproteínas / Ultrassonografia / Carcinoma Hepatocelular / Cirrose Hepática / Neoplasias Hepáticas Tipo de estudo: Diagnostic_studies Limite: Female / Humans / Male Idioma: En Ano de publicação: 1984 Tipo de documento: Article