PRIMARY CARCINOMA OF THE LIVER: CLINICAL AND RADIOLOGIC MANIFESTATIONS

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Abstract
Despite increased surgical aggressiveness toward hepatomas, the diffuse multicentric growth pattern often limits operability. There still remains a sizable number of localized tumors which escape diagnosis until metastases occur.With advances in chemotherapy, the number of patients undergoing some form of treatment (radiotherapy, surgery or chemotherapy) has increased five-fold in the past 20 years. However, the over-all 5 year survival rate still falls below 1 per cent in most series.29 Earlier diagnosis in the group of patients with a solitary lesion might ultimately result in a higher survival rate.With suggestive clinical and laboratory information and the described preliminary roentgenographic findings, one should suspect primary liver carcinoma.Selective celiac and/or superior mesentery angiography is the most definitive diagnostic procedure. The occurrence of a vascular mass with tumor vessels, a prolonged vascular blush, stretching and displacement of the hepatic vessels, and arteriovenous shuntin...

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