Korean J Gastroenterol.
2000 Jul;36(1):81-92.
Effectiveness of Periodic Checkup with Abdominal Ultrasonography
and alpha-Fetoprotein Assay for the Early Detection of Hepatocellular Carcinoma
Abstract
- BACKGROUND/AIMS
Periodic follow-up with abdominal ultrasonography
and/or alpha-fetoprotein (AFP) assay has been used for the early detection
of hepatocellular carcinoma (HCC). However, its effectiveness is still controversial.
The aim of this study was to re-evaluate the effectiveness of these follow-up methods.
METHODS
Five hundreds and thirty patients with HCC were divided into two groups:
follow- up group with regular screening (n=81) and non follow-up group without screening
(n=449). According to the interval of checkup, the follow-up group was divided into
three subgroups: FU-1 group (<3 months), FU-2 group (4-6 months), FU-3 group (7-12 months).
RESULTS
The rate of early detection (58% vs 27% in the detection of the single
nodular type), median survival (48 months vs 6 months) and therapeutic trial
(91% vs 60%) were higher in the follow-up group than in the non follow-up group.
The diameter of the largest tumor in each group was 3.4+/-2.3 cm and 9.0+/-5.0 cm,
respectively. As screening methods, abdominal ultrasonography combined with AFP
assay was superior to AFP assay alone or abdominal ultrasonography alone.
There were no significant differences in type and size of the tumor and
the survival rate among three follow-up subgroups. CONCLUSIONS: Periodic
follow-up with abdominal ultrasonography and/or AFP assay enabled the early
detection of HCC and improved its prognosis and survival.