%0 Journal Article
%T Hepatocarcinoma y trombosis portal diagnosticados por ecograf赤a y tomograf赤a computada en pacientes cirr車ticos chilenos en un hospital p迆blico, 2004 - 2011 Hepatocellular carcinoma and portal vein thrombosis diagnosed by sonography and ct scan in chilean cirrhotic patients between 2004 and 2011
%A Pamela Sierra S
%A Daniela Pivcevic C
%A Andr谷s Retamal C
%A Patricio Latorre B
%J Revista Chilena de Radiolog赤a
%D 2012
%I Publimpacto
%X No existen datos en pacientes cirr車ticos chilenos de prevalencia de hepatocarcinoma(CHC) y trombosis portal(TP). Objetivos: Evaluar el desarrollo de estas complicaciones y el rol que podr赤a jugar el ultrasonido (US) como primer m谷todo de imagen en su aproximaci車n diagn車stica. Material y m谷todos: Estudio de cohorte en pacientes diagnosticados mediante US o TC de cirrosis entre 2004 y 2008. Se evaluaron datos demogr芍ficos, cl赤nicos, y su evoluci車n hasta 2011, realizando revisi車n retrospectiva de sus estudios imagenol車gicos. Se investig車 si presentaron HCC y/o TP que fueran detectados mediante US/TC. Resultados: Se incluyeron 211 pacientes, con un promedio de 62,6 a os. En el 10,4% se diagnostic車 HCC y en el 4,3% TP. El 33% de TP ocurrieron asociadas a CHC y determinaron peor sobrevida. El US fue sospechoso en un porcentaje significativo de los casos, motivando la realizaci車n de TC confirmatoria. Conclusiones: El US aparece como una herramienta 迆til para la detecci車n de complicaciones de cirrosis. There is no available data on prevalence of hepatocellular carcinoma (HCC) and portal thrombosis (PT) in Chilean cirrhotic patients. Objectives: To evaluate the development of these entities and the role ultrasound (US) may play as the imaging method of choice in their diagnostic approach. Material and methods: A cohort study of patients with diagnosis of cirrhosis by US or CT scans between 2004 and 2008. We evaluated both demographic and clinical records, along with disease development until 2011, by performing a retrospective review of their imaging findings. We investigated whether patients presented HCC and / or PT as detected by US / CT studies. Results: Two hundred and eleven (211) patients with an average age of 62.6 years were included. HCC was diagnosed in 10.4% of cases, whilst PT was observed in 4.3% of patients. A 33% of PT occurred in association with HCC and exhibited worse survival rates. Ultrasonographic studies yielded suspicious results in a significant percentage of cases, thus CT scans were performed to confirm the diagnosis. Conclusions: Ultrasound examination appears to be a useful tool for detecting complications of cirrhosis.
%K Alcoholismo
%K Cirrosis
%K Hepatocarcinoma
%K Trombosis Portal
%K Virus Hepatitis C
%K Alcoholism
%K Cirrhosis
%K Hepatitis C Virus
%K Hepatocellular carcinoma
%K Portal vein thrombosis
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-93082012000100005