原发性肝癌的早期诊断(综述)

目的:提高原发性肝癌早期诊断率.方法:结合近期文献进行分析.结果通过询问病史,并且联合AFP等实验室检查以及B超和螺旋CT图像分析,提高此病的确诊率.结论:原发性肝细胞癌早期症状隐匿,均为偶尔体检或因有肝炎病史随诊时发现,术前早期确诊率低.合理联用AFP,临床症状及多种影像检查,可以提高诊断水平,特别对AFP阴性的、有疑问的占位性病变有特殊的诊断价值.

Early diagnosis of primary hepatocellar carcinoma

Objective To improve the rate of early diagnosis in the primary hepatocellar carcinoma(PHC). Methods To analyse primary hepatocellar carcinoma combined with the recent references. Results By consulting the history of diseases, combined with AFP, ultrasonography and helical CT scan, we have improved the rate of diagnosis. Conclusion The early symptoms of PHC are so insidious that the disease is ofen detected by random examination or keeping watch on patients with history of hepatisis. Therefore, the diagnosis rate of PHC is low. Rational combination with AFP and clinic symptoms and sorts of imaging means, diagnosis rate will be improved, especially for patients with negative AFP and dubious occupied diseases.