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Standard for diagnosis and treatment of primary liver cancer (2022 edition)
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Key words:
- Liver Neoplasms /
- Diagnosis /
- Therapeutics /
- Practice Guidelines as Topic
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图 1 肝脏肿瘤标本基线取材部位示意图
注：A、B、C、D，分别对应肿瘤时钟位12点、3点、6点和9点的癌与癌旁肝组织交界处；E，肿瘤区域；F，近癌旁肝组织区域；G，远癌旁肝组织区域。
图 2 肝癌诊断路线图
注：典型表现——动脉期(主要动脉晚期)病灶明显强化，门静脉和/或延迟期强化下降，呈“快进快出”强化方式；不典型表现——缺乏动脉期病灶强化或门静脉和延迟期强化没有下降或下降不明显，甚至强化稍有增加等。US，超声检查；MRI，多参数MRI；CT，CT动态增强扫描；CEUS，超声造影，使用超声对比剂实时观察正常组织和病变组织的血流灌注情况；EOB-MRI，肝细胞特异性对比剂钆塞酸二钠(Gd-EOB-DTPA)增强磁共振扫描；AFP(+)，超过血清AFP检测正常值。
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