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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1988-3-10
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pubmed:abstractText |
The accuracy of ultrasound (US) and alpha-fetoprotein (AFP) in the diagnosis of hepatocellular carcinoma (HCC) in 363 patients with cirrhosis (C) and a clinical suspicion of HCC was assessed. The ultrasonographic patterns of HCC and their relationship with AFP values were analyzed. Echographic patterns were distributed as follows: 47 patients had sonodense lesions; 30 patients had hypoechoic lesions; 47 had mixed-pattern lesions, and in four patients focal dilated intrahepatic bile ducts were demonstrated. The sensitivity of US was 90%; specificity was 93.3%. Serum AFP level greater than or equal to 500 ng/ml (RIA) was the first clue to the diagnosis in 71 patients (48.6%); specificity was 100%. In 28 patients AFP levels became significantly elevated during follow-up after US detection of HCC. No relationship between echo pattern and serum AFP levels was demonstrated. An algorithm for diagnosis of HCC is proposed.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0163-2116
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
47-51
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2448095-Algorithms,
pubmed-meshheading:2448095-Carcinoma, Hepatocellular,
pubmed-meshheading:2448095-False Negative Reactions,
pubmed-meshheading:2448095-False Positive Reactions,
pubmed-meshheading:2448095-Female,
pubmed-meshheading:2448095-Humans,
pubmed-meshheading:2448095-Liver Cirrhosis,
pubmed-meshheading:2448095-Liver Neoplasms,
pubmed-meshheading:2448095-Male,
pubmed-meshheading:2448095-Prospective Studies,
pubmed-meshheading:2448095-Sensitivity and Specificity,
pubmed-meshheading:2448095-Ultrasonography,
pubmed-meshheading:2448095-alpha-Fetoproteins
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pubmed:year |
1988
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pubmed:articleTitle |
Ultrasonography and alpha-fetoprotein in diagnosis of hepatocellular carcinoma in cirrhosis.
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pubmed:affiliation |
Divisione di Medicina Interna, Ospedale OV. Cervello, U.S.L. 60, Regione Siciliana, Italy.
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pubmed:publicationType |
Journal Article
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