Correlation of ultrasonography and fine needle aspiration cytology in diagnosis of hepatic space occupying lesions at Bankura Sammilani Medical College and Hospital

Shubhankar Poddar; Apurba Ghosh; Jha Ashutoshkumar Lalankumar; Bibekananda China

doi:10.18203/2320-6012.ijrms20240525

Authors

Shubhankar Poddar Department of Radiodiagnosis, Raigang Government Medical College and Hospital, West Bengal, India
Apurba Ghosh Department of Radiodiagnosis, Bankura Sammilani Medical College and Hospital, West Bengal, India
Jha Ashutoshkumar Lalankumar Department of Radiodiagnosis, Bankura Sammilani Medical College and Hospital, West Bengal, India
Bibekananda China Department of Radiodiagnosis, Bankura Sammilani Medical College and Hospital, West Bengal, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20240525

Keywords:

Ultrasonography, Fine needle aspiration cytology, Liver, Focal SOL

Abstract

Background: USG can differentiate various types of liver lesions based on their echo features and vascularity on CD then FNAC can be done only for those selected patients who needs further evaluation. Thus, patients with benign lesions based on USG and color Doppler, will be exempted from invasive, painful and time-consuming procedure of FNAC.

Methods: It was an evaluation study of a diagnostic test and was cross sectional in design.

Results: A total of 100 patients with focal hepatic lesions were included in our study group, with 47 cases diagnosed as abscesses, 2 cases were diagnosed as adenoma, 1 case was diagnosed as hepatic cyst, 1 case was diagnosed as cholangiocarcinoma, 22 cases were diagnosed as HCC and 21 cases were diagnosed as metastasis on FNAC. In diagnosis of abscess by USG, sensitivity was 87.23%, specificity was 93.33%, PPV was 93.18%, NPV was 87.5%, diagnostic accuracy was 90.21%. In diagnosis of HCC by USG, sensitivity was 63.64%, specificity was 84.28%, PPV was 56%, NPV was 88.05%, diagnostic accuracy was 79.34%. In diagnosis of metastasis by USG, sensitivity was 52.38%, specificity was 85.91%, PPV was 52.38, NPV was 85.91%, diagnostic accuracy was78.26%.

Conclusions: Our study showed more than 75% diagnostic accuracy in diagnosing the commonest focal liver lesions like abscess, hepatocellular carcinoma and metastatic lesions, by USG as compared to FNAC diagnosis which was considered as confirmatory in our institution.

Metrics

Metrics Loading ...

References

Tanaka H. Current role of ultrasound in the diagnosis of hepatocellular carcinoma. J Med Ultrasonics. 2020;47:239-55.

Beckingham J, Kraig J. Ryde SD. ABC of disease of liver pancreas and biliary tract. Br Med J. 2001;323:33-6.

Harvey CJ, Pilcher JM, Eckersley RJ, Blomley MJ, Cosgrove DO. Advances in ultrasound. Clin Radiol. 2002;57(3):157-77.

Tchelepi, Hisham MD, Rails W, Philip W. Ultrasound of focal liver masses. Ultrasound Quart. 2004;20(4):155-69.

Dushyant SV, Kalu SD. Imaging of liver. Oncology. 2004;9(4):385-95.

Mohammed Ahmed RM, Alkathiri S, Altalhi W, Eid H, Alshalwai M, Alotaibi S. Differential diagnosis of focal hepatic lesions using ultrasound confirmed with histopathology. Int Res J Med Med Sci. 2929;8(2): 18-24.

Swamy MCM, Arathi CA, Kodanda Swamy CR. Value of ultrasonography- guided fine needle aspiration cytology in the investigative sequence of hepatic lesions with an emphasis on hepatocellular carcinoma. J Cytol. 2011;28(4):178-84.

Kapoor AK, Arora R. Diagnosis of liver pathology by ultrasound. J Surg Ultrasound. 2018;3(2):B74-6.

Ahirwar CP, Patil A, Soni N. Role of ultrasonography to evaluate hepatic lesions. Sch J Appl Med Sci. 2016;4(7B):2450-9.

Hapani H, Kalola J, Trivedi A, Chawla A. Ultrasound evaluation of focal hepatic lesions. IOSR J Dent Med Sci. 2014;13(12):40-5.

Meena SP, Patangia P, Rai NN. Diagnostic utility of USG-guided FNAC in hepatic lesions. J Evid Based Med Healthcare. 2016;3(52):2699-702.

Bukhari AJ, Abid KJ. Amebic liver abscess: clinical presentation and diagnostic difficulties. Kuwait Med J. 2003:183-6.

Kumar M, Khanna P, Kollu R, Bansal RP. Ultrasonography and computed tomography evaluation in hepatic mass lesions. MedPulse Int Med J. 2017;4(11.11):4

Jangir A, Gehlot RN, Chaturvedy K, Dhadhich S, Sihag P. Evaluation of patients with hepatic masses using triphasic multidetector computed tomography and correlation with cytohistopathological findings. J Med Sci Clin Res. 2019;7(4).

Islam T, Hossain F, Rumpa AP, Sikder NH, Bhuiyan MA, Karim E, et al. Ultrasound guided fine needle aspiration cytology: a sensitive diagnostic tool for diagnosis of intra-abdominal lesions. Bangladesh Med Res Council Bull. 2013;39(1):14

Spiegel RM, King DL, Green WM. Ultrasonography of primary cysts of the liver. Am J Roentgenol. 1978;131(2):235-8.

Weaver Jr RM, Goldstein HM, Green B, Perkins C. Gray scale ultrasonographic evaluation of hepatic cystic disease. Am J Roentgenol. 1978;130(5):849-52.