摘要
美国胃肠病学会(ACG)最近发布了《肝脏局灶性病变诊断和管理指南》。由于影像学诊断技术的发展,无症状的肝脏局灶性病变(FLLs)病例显著增多,其中除了恶性肿瘤,还包括许多良性的囊性或实性肿瘤,如何鉴别FLLs的性质仍是临床医生所面临的问题,一些良性的FLLs具有恶性化倾向,在临床评估和管理上应区别对待。该指南以循证医学为证据,使用GRADE系统对推荐和证据分级,对FLLs提出了适合临床的诊断路径及管理策略。
The American College of Gastroenterology （ACG） issued a practice guideline regarding the suggested diagnostic approaches and management of focal liver lesions （FLLs） recently. The increasing and widespread use of imaging studies has led to an increase in detection of incidental FLLs. It is important to consider not only malignant liver lesions, but also benign solid and cystic liver lesions in the differential diagnosis. And some noncancerous lesions have malignant potential. In this ACG practice guideline, the authors use the GRADE system was to grade the strength of recommendations and the quality of evidence, and provide an evidence-based approach to the diagnosis and management of FLLs.
出处
《中国实用外科杂志》
CSCD
北大核心
2015年第1期20-24,共5页
Chinese Journal of Practical Surgery
