The place of echography in the clinical diagnosis of hepatic hemangioma
Grigovrov, N.; Nikolova, S.; Glavincheva, I.; Tankova, L.; Krŭstev, N.
Vutreshni Bolesti 28(1): 78-82
1989
ISSN/ISBN: 0506-2772 PMID: 2662611 Document Number: 339312
On the basis of 104 hemangiomas diagnosed in 81 patients an ultrasound classification of the disease is made which includes four basic variants. Echotomography detects the tumor most successfully in group I (well outlined homogenous hyperechogenisity) while in the other groups it shows a low percentage of correct diagnoses. The average sensitivity of the method is 60.6%. The possibilities of the other basic diagnostic methods are discussed and a scheme for clinical investigation is proposed. Scintigraphy is of no substantial help, computed tomography increases the percentage of the correct diagnoses, angiography and correctly indicated laparoscopy most often end the clinical investigation. The patients with hemangioma are subjected to a prolonged clinical follow up and ultrasound tomography is the best suitable method for this.