Hepatocarcinoma is diagnosed with the differential diagnosis _'s treatment in early days

Hepatocarcinoma is diagnosed with the differential diagnosis _'s treatment in early days
Early hepatocarcinoma ' Small hepatocarcinoma) Does not often have obvious symptom, how to find hepatocarcinoma in early days before symptom appear? Mainly adopt and determine globulin (AFP) of first kind of foetus in the blood With use B ultrasonic appearance, to high resident, high-risk group (have chronic history of hepatitis, have the intersection of hepatocarcinoma and the intersection of family and history, liver cirrhosis patient) of taking place etc. Sift general survey and monitor fixedly for the first time, or do the physical examination of the health, can find small hepatocarcinoma. So, the diagnostic method besides having illness coming on in history, determine first kind of foetus globulin, its diagnosis exactness is up to about 70%. Checking the liver in B type ultrasonic appearance has advantages such as accurate, helping, economy, having no wound,etc., can find whether there is tumour in the liver, size, number, position and relation with neighbouring structure,etc..
As the hepatocyte canceration, first child albumen (AFP) Appear and increase gradually, can measure AFP when draws the liquid in the patient's serum, ascites or hepatocarcinoma organization. In addition, testis or ovarian monster and tumour and a few other tumours are (such as gastric carcinoma, lung cancer) The patient can also detect AFP in serum; Pregnant woman and some acute hepatitis, liver cirrhosis patient's serum AFP content can also rise slightly. But and hepatitis condition can return to normal after taking a favorable turn after childbirth. In the hepatocarcinoma patient of our country, nearly 60%~70% AFP is higher than the normal value, for instance, AFP lasts one month to greater than or equal to 400ng/ml, or lasts 2 months to greater than or equal to 200ng, there is no active hepatitis evidence, and get rid of gestation and gonadial embryo's cancer, can make the diagnosis of hepatocarcinoma, the false positive rate is about 2%.
B apparent as can confirm in the liver taking the intersection of location and the intersection of and pathological change in supersound, fine ultrasonic appearance and a experienced one cure apprentice, can detect the intersection of 1cm and hepatocarcinoma of diameter while being detailed to check. And distinguish, take the intersection of location and pathological change bag or getting real, understand hepatocarcinoma and important vascular relation and the intersection of liver and inner neighbouring organ broadcast scattered and soaking the situation in the liver. Reveal portal vein in the liver and belong to, prop up, have the intersection of tumour and bolt,etc..
CT (computer fault scans) Further diagnose the important means of hepatocarcinoma with MRI scan. CT detects one of the most sensitive methods of hepatocarcinoma at present, adopts the appropriate enhancement method, the detection rate of focus is very above 90%. Sometimes. CT vs. hepatocarcinomas little,etc. density hepatocarcinoma and it is typical for diagnosis of hepatocarcinoma difficulties certain. Want, combine, check comprehensive analysis to diagnose while being other.
Magnetic resonance imaging (MRI) The ones that can be regarded as CT and diagnosed are auxiliary and supplementing the means. Need, puncture law or laparoscopy and make a little intravital samples with detailed stitch in some patient, make pathology to diagnose, contribute to making the healing solution. As finding pathological change of the liver, should notice that does differential diagnosis with the following diseases: Such as liver hemangioma, liver vascular sarcoma, liver cyst, liver tuberculosis, shifting hepatocarcinoma, liver parasitic disease,etc..
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