ULTRASOUND GUIDED FINE NEEDLE ASPIRATION CYTOLOGY (FNAC) IN DIAGNOSIS OF SPACE OCCUPYING LESIONS (SOL) OF LIVER
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 27
Abstract
[b]TITLE: [/b]Ultrasound guided fine needle aspiration cytology (FNAC) in diagnosis of space occupying lesions (SOL) of liver. [b]INTRODUCTION:[/b] Liver is an important organ for metabolism of body and is also a drainage site for many organs, therefore it becomes affected in many benign, malignant and inflammatory conditions and performing ultrasound guided FNA helps to diagnose cases with 90-95% accuracy and minimizing the requirement of biopsy. [b]AIMS:[/b] To evaluate the efficacy of ultrasound guided FNA and to look for spectrum of diseases affecting liver. [b]MATERIAL [/b] [b]AND METHODS:[/b] The study is performed on patients who came with lump abdomen and had SOL in liver on ultrasonography in SMS hospital, Jaipur. Ultrasonography guided FNAC was performed on 360 patients in one year period from January 2013 to December 2013. Majority of the patients were males and most of them were middle to elderly age group. Samples were adequate in 324 (90%) and inadequate in 36 (10%). Out of 360 patients 7 had benign lesions, rest all had malignant tumors. Of all the malignant tumors, metastatic tumors were commonest accounting for 68% cases, hepatocellular carcinoma accounted for 15% and the rest 17% were unclassified malignancies. [b]CONCLUSION: [/b] Ultrasonography guided FNAC is a simple, safe, cost effective and accurate diagnostic method for cytological diagnosis of hepatic lesions. It can be practiced in any centre where ultrasound facility and specialist pathologists are available. Cell blocks can be prepared from FNAC material which is of great help especially in cases who have unknown primaries and present with metastasis in liver
Authors and Affiliations
Sapna Goel, Deepika Hemrajani, Mahak Sharma
Keywords
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- EP ID EP164183
- DOI 10.14260/jemds/2014/2922
- Views 96
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