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Journal of Ultrasound in Medicine, Vol 16, Issue 1 51-58, Copyright © 1997 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Clinical utility of color Doppler sonography in the differentiation of hepatocellular carcinoma from metastases and hemangioma

Z. Y. Lin, L. Y. Wang, J. H. Wang, S. N. Lu, S. C. Chen, W. L. Chuang, M. Y. Hsieh, J. F. Tsai and W. Y. Chang
Department of Internal Medicine, Kaohsiung Medical College Hospital, Taiwan, Republic of China.

The clinical utility of color Doppler sonography in the differentiation of hepatocellular carcinoma from metastases and hemangioma was investigated in 72 hepatocellular carcinomas (80 lesions), 30 metastases (82 lesions), and 39 hemangiomas (54 lesions). Overlaps of color patterns were found among hepatocellular carcinoma, metastases and hemangioma. Pulsatile waves from lesions with the basket, vessels within tumor, or spot patterns, or lesions measuring less than 3 cm with detectable signals, did not favor the diagnosis of hemangioma. In conclusion, color Doppler sonography can aid in the differentiation of hepatocellular carcinoma from hemangioma but may be unreliable in the differentiation of hepatocellular carcinoma from hypervascular metastases.


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J.-H. Wang, T.-M. Chen, H.-D. Tung, C.-M. Lee, C.-S. Changchien, and S.-N. Lu
Color Doppler Sonography of Bile Duct Tumor Thrombi in Hepatocellular Carcinoma
J. Ultrasound Med., July 1, 2002; 21(7): 767 - 772.
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