Accuracy of High-Resolution Ultrasound for Evaluating Soft Tissue Tumours of the Hand and Wrist
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2012, Vol 5, Issue 4
Abstract
Objectives: High resolution ultrasound (HRUS) is increasingly popular in the assessment of soft tissue tumours. This retrospective study evaluates the reliability of HRUS in diagnosing soft tissue tumours of the hand and wrist, compared to clinical evaluation, intraoperative findings and histological examination. Methods: Sixty-three patients with soft tissue tumours of the hand and wrist were first evaluated clinically investigated. HRUS was then performed using a 5-17 MHz broadband linear probe, with the radiologist blinded to the clinical interpretation. The patient was scheduled for operation depending upon suspected pathology. Histological examination was routinely obtained during surgery. Results: Thirty-one patients underwent surgery. Of the 16 solid lesions HRUS was right in 15 cases (94%). Only nine of these 16 lesions (56%) were correctly diagnosed on clinical examination (p= 0.041). All 15 cysts were correctly diagnosed by HRUS, whereas clinical examination alone correctly diagnosed a cyst in 14 patients (not significant). Conclusion: No significant difference was found in the differentiation of cystic and solid lesions comparing HRUS and clinical examination. HRUS is significantly better than clinical diagnosis alone in distinguishing the type of solid lesions. Further benefits of HRUS include the identification of atypically localised cysts and improved preoperative planning.
Authors and Affiliations
Jan van Aaken| Hôpital Universitàire de Genève, Service de Chirurgie Orthopédique et Traumatologie de l'Appareil Moteur, Genève, Switzerland, Jean-Yves Beaulieu| Hôpital Universitàire de Genève, Service de Chirurgie Orthopédique et Traumatologie de l'Appareil Moteur, Genève, Switzerland, Philippe Vostrel| Hôpital Universitàire de Genève, Service de Chirurgie Orthopédique et Traumatologie de l'Appareil Moteur, Genève, Switzerland, Stephan Kämpfen| Hôpital Universitàire de Genève, Service de Chirurgie Orthopédique et Traumatologie de l'Appareil Moteur, Genève, Switzerland, Stefano Bianchi| CIM SA, Centre Immagerie Malagnou, Genève, Switzerland
Keywords
Related Articles
- EP ID EP8891
- DOI 10.3889/MJMS.1857-5773.2012.0236
- Views 320
- Downloads 15
Neuroprotective Effects of Kolaviron, a Biflavonoid Complex of Garcinia kola, on Rats Hippocampus against MethamphetamineInduced Neurotoxicity
Aim: To investigate the protective effects of kolaviron on brain weight and behavioural performance and the histology of the hippocampus of adult Wistar rats following methamphetamine challenge. Materials and Methods:...
Abdominal Compartment Syndrome as an Independent Mortality Predictor Factor During Acute Pancreatitis
Aim: The aim was to study the role of abdominal compartment syndrome and intra-abdominal hypertension (IAH) as indipendent predictor factors on outcome and mortality in patients during early phase of acute pancreatitis...
Analgesic, Anti-Inflammatory and Antiarthritic Activity of Newly Synthesized Bicyclothieno 1, 2, 3 – Triazines
Aim: The present study was aimed to evaluate the novel bicyclo thieno 1, 2, 3-triazines (BTT) namely BTT-1, BTT-2, BTT-3 and BTT-4 for analgesic anti-inflammatory and antiarthritic activity. Materials and Methods: Anal...
Sixty Years Faculty of Medicine in the Republic of Macedonia (1947–2007)
Faculty of Medicine in Skopje, Republic of Macedonia was founded in 1947 year with its educational and health activities which should lead to improvement of the health care in the country. In the past sixty years Facul...
Neonatal Complications Related with Prolonged Rupture of Membranes
Background. Prolonged rupture of membranes (PROM) is a common and significant cause of preterm labor and has a major impact on neonatal morbidity and mortality. The aim of this study was to determine maternal risk fact...