慢性肝疾患の経過中に選択的腹腔動脈撮影により診断された細小肝癌7症例の臨床経過

概要

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Selective coeliac angiography (SCAG) was done in 64 cases with chronic liver diseases (mainly, chronic hepatitis and liver cirrhosis) who were admitted to a hospital in Shimonoseki-city where is known as the highest population of HB-carrier in Yamaguchi-prefecture. A complication of hepatoma was seen in 23 cases (36%), in whom 7 cases were thought to be minute hepatoma. The clinico-pathological features revealed less diagnostic value of α-fetoprotein in minute hepatoma and 56% positive for either HBs or anti-HBs. Out of 7 cases, 3 cases were operated and the other cases had been followed by chemotherapy or emboliza-tion of tumor vessels. In operable cases, SCAG views continuously taken in every a few months showed a very rapid progression to the clinicaly advanced hepatoma. Therefore, our experience suggests the reliable usefulness of SCAG, particularly for the diagnosis of minute hepatoma, in another word for hepatoma in very early stage.