Diagnosis of focal liver lesions – visualizing examinations<br /> or biopsy? Our experience
Journal Title: Postępy Nauk Medycznych - Year 2010, Vol 23, Issue 1
Abstract
Introduction: Owing to wide availability of modern visualizing diagnostic methods focal liver lesions are often diagnosed.Material and Methods: The retrospective study was conducted involving the patients with focal liver lesions hospitalized in the Department of Gastroenterology, Medical University of Lublin between 1 Jan 2003 and 1 Jul 2009.Results: In the analyzed period 8307 patients were treated. In 1000 of them focal liver lesions were diagnosed. In 901 patients focal lesions were diagnosed on the basis of visualizing methods. The most frequently cysts and hemangiomas occurred. In 99 patients guided liver biopsy was necessery to establish the univocal diagnosis. 5.8% of all biopted focal lesions constituted nonneoplasm and benign neoplasm. Metastases were the most frequent among malignant neoplastic lesions. In 7.01% of the patients who were underwent the guided liver biopsy immunohistochemistry was absolute necessary to univocally diagnose the kind of focal lesion.Conclusion: The observation data demonstrated that focal liver lesions were diagnosed in every 8th hospitalizated patient. Cysts and hemangiomas occurred the most frequently and constituted 4.1% and 5.7% of all hospitalized patients, respectively, and 33.7% and 47.7% of patients with focal liver lesions. In the majority of cases the diagnosis was based on the visualizing methods. Every 10th focal lesion required the guided liver biopsy. Every 3th biopted focal lesion was malignant neoplasm. Among them metastases occurred the most frequently.
Authors and Affiliations
Halina Cichoż-Lach, Beata Prozorow-Król, Leszek Buk, Jarosław Swatek, Krzysztof Celiński, Maria Słomka
Keywords
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