頁籤選單縮合
題 名 | Ultrasound-Guided 22-Gauge Fine Needle Aspiration Cytology in Diagnosis of Liver Tumors |
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作 者 | Tsai,Yuh-yuan; Lu,Sheng-nan; Changchien,Chi-sin; Lee,Chuan-mo; Wang,Jing-houng; Eng,Hock-liew; Chang,Wei-chi; | 書刊名 | 內科學誌 |
卷 期 | 10:3 1999.06[民88.06] |
頁 次 | 頁108-112 |
分類號 | 415.536 |
關鍵詞 | Fine needle aspiration; FNA; Liver tumor; Hepatocellular carcinoma; HCC; |
語 文 | 英文(English) |
英文摘要 | Ultrasound (US)-guided fine needle aspiration (FNA) is a fast and safe way to get a tissue sample for evaluation of liver tumor. The objective of this study is to investigate the value of US-guided 22-gauge FNA smear cytology (SC) in diagnosing liver tumor. Through January to June 1998, 43 liver tumor patients including hepatocellular carcinoma (HCC) and non-HCC received 43 sessions of US- guided FNA were recruited. Thirty-three malignant tumors including HCC and nonspecific malignancy were confirmed by pathology. Ten benign tumor lesions (abscess, hemangioma and nodules in cirrhotic liver) were confirmed by clinical course and follow-up for at least 1 year without tumor progression. The sensitivity, specificity and accuracy of US-guided 22-gauge FNA SC are 90.9%, 90% and 90.7%, respectively. Furthermore, in diagnosing HCC, the sensitivity, specificity and accuracy are 88.5%, 88.2% and 68.4%, respectively. To evaluate the interference of tumor size, the sensitivities of using FNA SC in diagnosing HCC are no statistical difference (<2 cm, 100%; between 2-5 cm, 84.6%; and > 5 cm, 100%). There is no immediate post- aspiration complication in this study. In conclusion, US-guided 22-gauge FNA smear cytology is a rapid, safe, inexpensive and reliable method in diagnosis of liver malignancy. ncy. (J Intern Med Taiwan 1999;10:108-112) |
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