Selective celiac angiography and surgical exploration for suspected liver cancer. A comparative study of 196 patients.
In 196 patients subjected to celiac angiography and exploratory laparotomy for suspected liver tumor, 81% of the tumors were diagnosed by angiography, 26% of patients had false-negative angiograms, and 16% had false-positive angiograms. Diangosis on laparotomy proved correct except in one patient. Of 22 patients with liver tumors not diagnosed on angiography, 10 could be specifically treated and 3 of them have survived more than one year. This gain is discussed in relation to the rather high number of unnecessary laparotomies.
D000328:Adult; D000368:Aged; D002445:Celiac Artery / Q000000981:diagnostic imaging*; D003951:Diagnostic Errors; D005069:Evaluation Studies as Topic; D006801:Humans; D007813:Laparotomy; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000601:surgery; D008875:Middle Aged; D011859:Radiography