JOURNAL OF PRACTICAL HEPATOLOGY ›› 2018, Vol. 21 ›› Issue (5): 741-744.doi: 10.3969/j.issn.1672-5069.2018.05.022

• Hepatoma • Previous Articles     Next Articles

Contrast-enhanced ultrasound monitoring in early diagnosis of patients with small primary liver cancer

Guo Zhengning.   

  1. Functional Section,Third People's Hospital,Hengshui 053000,Hebei Province,China
  • Received:2017-03-31 Online:2018-09-10 Published:2018-09-27

Abstract: Objective To investigate the clinical application of ultrasonography in the early diagnosis of patients with small primary liver cancer (PLC). Methods 156 individuals with high risk of PLC were monitored by ultrasonography in the Department of Oncology between January 2016 and December 2016 in this study. Computed tomography(CT),and magnetic resonance imaging(MRI) were performed within 15 days after contrast-enhanced sonography. The pathologic diagnosis was made by surgical histopathological examination or fine needle biopsy. Results Out of the 156 persons with high risk of PLC,29 malignant and 14 suspected malignant foci were found by routine sonography,while 32 malignant and 9 suspected malignant foci were detected by contrast-enhanced sonography;32 hepatocellular caicinoma (HCC) and 9 suspected malignant foci were confirmed by pathology;out of the 32 patients with HCC,17 were men,and 15 women with a average age of 48.56±2.05 (20~69) yr,the diameter of foci was 0.8~2(1.62±0.12) cm,and the foci was arterial enhancement and hypoechogenicity in portal and delayed phase in 13,and keeping enhancement in three phase in 19. Conclusions Regular monitoring of ultrasonography is necessary in individuals with high risk of PLC for early diagnosis of malignant foci.

Key words: Hepatoma, Ultrasonography, Diagnosis, High risk