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自广泛采用AFP检测以来,仍有30％左右的原发性肝癌(下称肝癌)病例AFP阴性,而肝脏其它占位性病灶有时也可出现与AFP阴性肝癌相似的临床表现及B超图象,鉴别诊断困难。本文将1972年1月——1988年2月,经病理证实被误诊的37例AFP阴性肝脏占位性病变作一分析,以求从中得到启示,提高确诊率。 临床资料 37例中,男25例,女12例。年龄20—71岁。B超或CT检查均示肝区有占位灶。均由手术或穿刺病理确诊,见附表。 所有病例均作SGDT及AKP测定,仅在肝硬变
Since AFP detection has been widely used, there are still about 30% of cases of primary liver cancer (hereinafter referred to as hepatocellular carcinoma) AFP is negative, and other space-occupying lesions of the liver may sometimes have similar clinical manifestations and B-mode ultrasound images compared with AFP-negative liver cancer. Differential diagnosis is difficult. In this article, from January 1972 to February 1988, 37 cases of AFP-negative liver occupying lesions that were misdiagnosed by pathology were analyzed to obtain inspiration from them and improve the diagnosis rate. Clinical data 37 cases, 25 males and 12 females. Age 20-71 years old. B-ultrasonography or CT examination showed that there was a lesion in the liver area. All confirmed by surgery or puncture pathology, see attached table. All cases were measured by SGDT and AKP, only in liver cirrhosis