Article Sidebar
Views PDF: 457
STUDY OF IMAGING CHARACTERISTICS OF HEPATOCELLULAR CARCINOMA (HCC) ON CT SCAN AND SOME RELATED FACTORS
Main Article Content
Abstract
Objective: To describe the Imaging characteristics of Hepatocellular carcinoma (HCC) on CT scan and some related factors. Methods: Cross-sectional description. Results: on CT scan, there is a single mass accounting for 80%. Tumor in the right liver (82.9%). Tumor size > 50mm accounted for 68.6%. Hypodensity before contrast injection was 88.57%. The tumor was ehanced in the arterial phase accounted for 91.4%. Wash-out contrast in venous phase accounted for 88.57%. In delay phase, the tumor wash - out accounted for a high rate of 91.4%. Portal vein thrombosis (8.6%). Patients with AFP level ≤ 20ng/ml was 28.6%. AFP level from 20-400 ng/ml accounted for 31.4%. AFP level >400ng/ml accounted for 40%. The average values of GOT and GPT were 123.1±103.5U/L and 79.5±72.8U/L, respectively; The median values of GOT and GPT were 102U/L and 51.1 U/L, respectively. The proportion of patients with hepatitis B virus was 51.4%, with hepatitis C virus accounted for 5.7%, patients with only cirrhosis accounted for 14.3% and 10 patients with cirrhosis and HBV accounted for 28.6%.
Article Details
References
2. Catalano O, Cusati B, Sandomenico F (1999), Multiple-phase spiral computerized tomography of small hepatocellular carcinoma: technique optimization and diagnostic yeild, 98: pp 53-64.
3. B G Choi, S H Park, J Y Byun (2001), The finding of ruptured hepatocellular carcinoma on helical CT, 74: pp 142-146.
4. Karahan OI, Yikilmaz A, Isin S. Orhan S. Characterization of hepatocellular carcinomas with triphasic CT and correlation with histopathologic findings. Acta Radiol. 2003:44(6):566-571. doi:10.1046/j.1600-0455.2003.00148.x
5. Ehman EC, Behr SC. Umetsu SE, et al. Rate of observation and inter- observer agreement for LI-RADS major features at CT and MRI in 184 pathology proven hepatocellular carcinomas. Abdom Radiol (NY). 2016:41(5):963-969. doi:10.1007/s00261-015-0623-5
6. Liu W,Qin J, Guo R, et al. Accuracy of the diagnostic evaluation of hepatocellular carcinoma with LI-RADS. Acta Radiol. 2018;59(2):140-146. doi:10.1177/0284185117716700.
7. Hồ Ngọc Linh, Nguyễn Nam Hùng (2013), " nghiên cứu đặc điểm hình ảnh chụp CLVT u gan tại Bệnh viện Đa khoa tỉnh Kon Tum từ 2010
8. Trần Thị Hồng Nhung (2020), Đánh giá phân loại LI-RADS trên cắt lớp vi tính đa dãy trong chẩn đoán tổn thương khu trú ở nhu mô gan, Luận văn Thạc sĩ Y học Đại Học Y Hà Nội.
9. Thái Doãn Kỳ (2015), Nghiên cứu kết quả điều trị ung thư biểu mô tế bào gan bằng phương pháp tắc mạch hóa dầu sử dụng hạt vi cầu Dc Beads, Viện nghiên cứu khoa học y dược lâm sàng 108.
10. Phạm Trường Giang (2021), Tìm hiểu đặc điểm lâm sàng, cận lâm sàng và hình ảnh cắt lớp vi tính ung thư biểu mô tế bào gan (HCC), Khóa luận tốt nghiệp. Y học Đại Học Quốc Gia Hà Nội.