Cytomorphological spectrum of hepatic lesions in image guided fine needle aspiration at tertiary care hospital
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 2
Abstract
Introduction: The majority of malignancies in the liver are metastases. Among the metastatic carcinomas adenocarinomas are being the most common type. Hepatocellular carcinoma (HCC) is the most common primary malignant tumor in the liver. It is the fifth most common malignant tumor in men and eighth most common in women worldwide. For focal liver lesions Ultrasonography (USG) or computed tomography (CT)-guided fine needle aspiration cytology (FNAC) is an accurate method for a definite diagnosis. The advantage of this technique is its high diagnostic accuracy leading to obsolete use of older technique of blind percutaneous biopsy using a coarse needle. Aims of the Study: To describe cytomorphological features of various liver lesions with their clinical correlation and diagnostic accuracy of image-guided FNAC in the diagnosis of liver diseases Materials and Methods: The present study was undertaken in a Tertiary Care Hospital of Yenepoya Medical College, Mangaluru and 100 cases were studied over a period of 3 years from 2013 to 2016 Results: Of the total diagnosed cases 61 % malignant while only 10% were inflammatory or benign lesions. Among malignant cases (61 cases) majority of the cases were metastatic lesions (41%) and remaining 20 % cases were primary liver lesions. In our study, 20 primary lesions from liver were detected of which 19 were HCC and a single case was intra hepatic cholangiocarcinoma were diagnosed. Conclusion: Adenocarcinoma was most common metastatic tumor. While in the primary tumor, HCC were most common
Authors and Affiliations
Shashidhar M R, Ali Abdul Latheef, Priyanka P Shetty
Keywords
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