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英文誌(2004-)

Journal of Medical Ultrasonics

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1988 - Vol.15

Vol.15 No.01

Original Article(原著)

(0045 - 0052)

肝胆膵超音波地域集検で発見された悪性腫瘍と集検費用

Malignant Neoplasms Detected in the Mass Survey for Hepatic, Biliary Tract and Pancreatic Diseases by the Use of Ultrasonography

小野寺 博義2, 千田 信之1, 木村 敏1, 後藤 由夫1, 菅原 伸之3

Hiroyoshi ONODERA2, Nobuyuki CHIDA1, Satoshi KIMURA1, Yoshio GOTO1, Nobuyuki SUGAWARA3

1東北大学医学部第三内科, 2現宮城県立成人病センター内科, 3宮城県対がん協会

1Third Department of Internal Medicine, Tohoku University School of Medicine, 2Department of Internal Medicine, Miyagi Seijinbyo Center, 3Cancer Detection Center of Miyagi Cancer Society

キーワード : Mass survey, Ultrasonography

Mass survey for hepatic, biliary tract and pancreatic diseases by the use of ultrasonography was conducted by Cancer Detection Center of Miyagi Cancer Society. Both serum liver function tests (GOT, GPT, ALP, ZTT, HBsAg and alpha-fetoprotein) and ultrasonography were employed as the first screening procedures. Since 1981, 3304 males and 3492 females were examined. Nineteen cases of malignant neoplasms (0.280%) were detected. Fifteen cases of cancer in the liver, gallbladder and pancreas (0.221%) were included. The detection rate was similar to that of gastric cancer in the gastric mass survey in Miyagi prefecture. Seven cases of hepatocellular carcinoma (0.103%), three cases of metastatic liver tumor (0.044%) and a case of hepatic cystadenocarcinoma (0.015%) were detected. Six-months and 1-year survival rates in 19 cases were 73.3 and 68.0%, respectively. The longest survival was 58 months in a case of renal cell carcinoma. Mass survey by the use of ultrasonography is considered to be available and cost-effective method to detect malignant neoplasms of hepatic, biliary tract and pancreatic diseases.