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원발성 (原發性) 간암의 (肝癌) 간절제가능성 (肝切除可能性) 판정에 있어서 간주사 (肝走査) , 복강경검사 (腹腔鏡檢査) 및 간혈관조영술의 (肝血管造影術) 비교
김정용(Chung Yong Kim),이효석(Hyo Suk Lee),정영화(Young Hwa Chung),김수태(soo Tae Kim) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.1
N/A For the purpose of evaluating the predictive values for the resectability of primary liver cancer, the results of radionuclide liver scan, peritoneoscopy and hepatic angiography in 152 cases including 31 cases received laparotomy were reviewed and analyzed. The results were summarized as following: 1) The positive predictive value of radionuclide liver scan, peritoneoscopy and hepatic angiography was 58.9%, 77.3% and 84.2%, respectively, while the negative predictive value was 74.5% 96.9% and 96.3%, respectively. And the sensitivity of each method was 86.4%, 97.7% and 96.9% respectively, with the specificity of 39.8%, 71.3% and 81.8%, respectively. 2) Radionuclide liver scan was high in its sensitivity, but portal vein tumor emboli and metastasis to lymph nodes and adjacent organs couldnt be detected by this method, and therefore the specificity became low. Accordingly, the predictability for hepatic resection of this method was found to be poor. 3) Peritoneoscopy was more helpful than radionuclide liver scan and angiography in detecting metastasis to adjacent organs or small tumor nodules on the liver surface. However, portal vein tumor emboli and lesions located in the posterior surface of the liver couldn't be detected. 4) Hepatic angiography had difficulties in diagnosing diffuse type of metastasis to adjacent organs and lymph nodes. However, portal vein tumor emboli could be found and the accurate location and size of primary liver cancer could be evaluated, indicating that this test is a reliable and indispensible method for the evaluation of resectability. The results above showed that radionuclide liver scan, peritoneoscopy and hepatic angiography were indispensible and complementary each other in judging resectability of primary liver cancer and should be performed in that order to select candidates for laparotomy.