Advances in helical CT diagnosis of small hepatocellular carcinoma.docVIP

 PAGE \* MERGEFORMAT 27 Advances in helical CT diagnosis of small hepatocellular carcinoma [Keywords:] Spiral CT diagnosis of small hepatocellular carcinoma progress Primary liver cancer (primaryhepatocellularcarcinoma, PHCC) is a common malignant tumor in China, high mortality, early diagnosis of liver cancer is an important means to improve patient survival [1], the last normal CT examination for small hepatocellular carcinoma, especially small detection of liver cancer is very difficult. over the past decade, especially in recent years multi-phase dynamic spiral CT scanning application that allows small hepatocellular carcinoma and small liver cancer detection rate and significantly improve the accuracy of qualitative paper Spiral CT for diagnosis of small hepatocellular carcinoma are summarized below. 1, the pathological basis of small hepatocellular carcinoma Small hepatocellular carcinoma (small hepatocellular carcinoma, SHCC) definition has not yet unified, collaborative group of Chinese liver cancer to determine the pathological criteria: maximum diameter of individual nodules 3 cm, multiple nodules, the number of not more than 2, the maximum diameter and 3 cm. many studies suggest that liver cirrhosis is correlated with the PHCC, the occurrence of liver cirrhosis based on the PHCC is a multi-stage process. In this process, the regenerative nodules (regenerate nodule, RN) may be the first step, then After dysplastic nodules (displastic nodule, DN), with central malignant lesions formation, development of SHCC, which profiled according to their degree of cell, is divided into low-grade dysplastic nodules (low grade DN) and a high degree dysplasia Results Day (high grade DN) types, the latter a high degree of cell contour, is considered to be precancerous lesions [2]. study found that, DN development of SHCC in 4 months to complete, according to HCC’s shape, structure and outcome can be divided into five types: early HCC (eHCC), lobular stru