Clinical significance and prediction factors of gastric varices in patients with hepatocellular carcinoma

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Title:	Clinical significance and prediction factors of gastric varices in patients with hepatocellular carcinoma
Authors:	Yeh, JL;Peng, YC;Tung, CF;Yang, DY;Hu, WH;Chow, WK;Yeh, HZ;Chen, GH
Contributors:	附設醫院內科部消化科;Taichung Vet Gen Hosp, Dept Emergency Med, Taichung 407, Taiwan;Taichung Vet Gen Hosp, Div Gastroenterol, Taichung 407, Taiwan;China Med Univ Hosp, Div Gastroenterol, Taichung, Taiwan;Natl Yang Ming Univ, Taipei, Taiwan
Date:	2003
Issue Date:	2010-09-24 14:20:54 (UTC+8)
Publisher:	H G E UPDATE MEDICAL PUBLISHING S A
Abstract:	It remains difficult to pre-operatively differentiate follicular carcinoma and adenoma even under intraoperative investigations including histopathologic diagnosis of frozen sections. Methods. Vie retrospectively compared dual phase thallium (TI-201) thyroid scan and fine-needle aspiration (FNA) cytology to detect follicular carcinoma in 12 patients with cold thyroid nodules. Fine-needle aspiration cytology results were assessed and categorized by experienced pathologists into benign, suspicious, and malignant. Dual phase TI-201 thyroid scan including an early (10-min) image and a delayed (3-hour) image were acquired after 2 mCi (74MBq) of TI-201 was injected intravenously. Dual phase TI-201 thyroid scan findings were visually interpreted as positive and negative results. Results. Based on FNA cytologic interpretation criteria, three nodules were diagnosed as benign, five nodules were diagnosed as suspicious, and four nodules were diagnosed as malignant. However, based on dual phase TI-201 thyroid scan interpretation criteria, all of the 12 nodules could accurately diagnose as malignant. Conclusions. We conclude that dual phase TI-201 thyroid scan was more accurate in diagnosing follicular carcinoma when comparing with FNA cytology.
Relation:	HEPATO-GASTROENTEROLOGY 50(53):1603-1608
Appears in Collections:	[China Medical University Hospital] Jurnal articles

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