DIAGNOSTIC PROCEDURES IN LIVER-TUMORS - R EQUIREMENTS FOR THERAPEUTICSTRATEGY

For the surgical treatment of liver tumors, two initial steps are nece ssary: functional operability must be proven and oncological and Ideal inoperability must be ruled out. The diagnostic process consists of a series of steps, beginning with non-invasive procedures such as labor atory findings and sonography continuing with CT, CTAP, laparoscopy in the case of hepatic cirrhosis, up to explorative laparotomy, The pote ntial operability is re-checked after each step. Function, MRI and sci ntigraphy are implemented in special cases. The early implementation o f MRI is of particular value for the diagnosis of certain benign proce sses.