Imaging and Pathologic Features of the Common Hepatic Focal Lesions
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 13, Issue 8
Abstract
Background and Study Aims: Focal liver lesions are considerably detected in every day practice. Radiological imaging has a significant role in the detection and follow up of hepatic focal lesions. At times, the pathological study is absolutely necessary to confirm a definite diagnosis. The aim of this study was to estimate the probability that radiological scans to diagnose different types of focal liver lesions as primary imaging modalities are inconclusive. Methods: This study was carried out at National Hepatology and Tropical Medicine Research Institute, Egypt. Abdominal ultrasonography, triphasic computed tomography +/- magnetic resonant imaging and ultrasound guided percutaneos core biopsy of 42 patients with suspected hepatic focal lesions were carried out. Results: Out of 42 patients with liver focal lesions detected by transabdominal ultrasound and with inconclusive criteria by triphasic computed tomography +/- magnetic resonant imaging then confirmed by pathological examination, 8 were regeneration nodules, 18 hepatocellular carcinoma (HCC), 6 adenomas, 5 haemangiomas, 1 undifferentiated carcinoma,1 sarcoma., 2 abscesses and 1 dysplastic nodule. Conclusions: Ultrasound is a safe and rapid method of detecting hepatic focal lesions, also allowed ultrasound guided interventions. High proportions of inconclusive criteria by additional scans were observed in this study. In this case histopathology is recommended to confirm the diagnosis.
Authors and Affiliations
Lamiaa Mobarak, Mohammed M. Nabeel, Waleed El Agawy, Zeinab Zakaria
Keywords
Related Articles
- EP ID EP340722
- DOI 10.9734/BJMMR/2016/23665
- Views 57
- Downloads 0
Ethical Dilemmas in Orthodontics
Aim: To present a clinical case as an example of an ethical dilemma that orthodontists may face when advocating for the best interests of a child. Case Presentation: A five-year-old girl attended my private orthodontic...
Upward Displacement of Prosthetic Aortic Valved Conduit after Modified Bentall Procedure for Type A Acute Aortic Dissection
Aim: Role of non-invasive coronary artery computed tomography (CACT) in diagnosis of complications of aortic root surgery in patients with chest pain. Introduction: Dehiscence of an aortic valved conduit or pseudoaneurys...
Association of Blood Group O with Gastrointestinal Bleeding in Continuous-Flow LVAD Patients
Background: Increasing use of mechanical circulatory devices for advanced heart failure therapy has led to challenges in managing complications that arise from device implantation for long term support either as a bridge...
Adherence to Antiretroviral Therapy: Prevalence, Determinants and Impact on Body Weight and Immunological Recovery among People Living with Human Immunodeficiency Virus in Osogbo, Nigeria
Background: antiretroviral therapy has changed the outlook of AIDS. However, identifying factors that will strengthen its maintenance is vital to treatment success. Advocacy is growing on the need for close attention to...
Service Delivery of a Preventive Oral Health Care Model to High Caries Risk Urban Children in Sri Lanka: A Retrospective, Descriptive Study
Background: Caries in primary teeth poses a global public health challenge as the most common chronic childhood disease in young children. It is compounded by marked social and geographical inequalities demonstrating hig...