THE SONOGRAPHIC CHARACTERISTICS OF SCHISTOSOMIAL HEPATIC FIBROSIS ACCOMPANIED BY HEPATIC CARCINOMA
- VernacularTitle:慢性血吸虫病合并肝癌超声图象分析
- Author:
Yougeng ZHANG
- Publication Type:Journal Article
- Keywords:
schistosomiasis, hepatic carcinoma, ultrasonic diagnosis
- From:
Chinese Journal of Schistosomiasis Control
1989;0(01):-
- CountryChina
- Language:Chinese
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Abstract:
The sonographies of 34 patients with schistosomial hepatic fibrosis accompanied by hepatic carcinoma were analysed retrospectively. The characteristics are listed as follows: 1. The schistosomial change is more obvious in left lobe of liver, while the hepatic carcinoma-tous change is usually seen in the right lobe or both right and left lobes (the latter is more common, 76%) : 2. Most cases (55. 9%) have more than two tumors; 3. There are two sonographic features around tumors: hypoechoic holo or hyperechcic rim; 4. The reticular structure caused by schistosomiasis disappeared partially and was substituted by hypoechoic or hyperecnoic zones, or the original reticular structure changed into irregular structure in disorder; 5. Mass in seen in portal vein or it's branches; 6. With Doppler ultrasound, the pulsatile blood flow signal within the tumor can be detected. The above sonographic features are useful for diagnosis of hepatic carcinoma in patients with chronic schistosomial hepatic fibrosis.
