Saturday 31 July 2021

Differential Diagnosis of Focal Hepatic Lesions Using Ultrasound Confirmed with Histopathology: Recent Advancement | Chapter 3 | Highlights on Medicine and Medical Science Vol. 9

 Over the last few decades, advances in imaging technologies have helped to better characterise hepatic abnormalities. The goal of this study was to distinguish localised hepatic lesions based on ultrasound (U/S) features and compare the results to histology. A descriptive retrospective research of 100 patients with localised hepatic lesions was conducted at King Abdul-Aziz Specialist Hospital in Taif, Saudi Arabia, from 2012 to 2019. Adult Saudi patients aged 18 and up met the inclusion criteria. The investigation used LG-9 and Philips ultrasound equipment with 3.5 MHz transducers. The 55 to 80 year old age group accounted for 44% of the total, with a mean age of 49 years and 92 percent of married people. In histology, 86 percent of well-defined lesions margins were benign (p=0.00), 61 percent of ill-defined margin lesions were malignant (p=0.02), and 73 percent of hyperechoic lesions were hemangioma (p=0.02). When it came to the nature of hepatic lesions during U/S, 87 percent of solid lesions (p=0.03) were malignant, while 89 percent of cystic lesions were benign (p=0.03). Sixty-one percent of hypoechoic lesions were cancerous. Under colour Doppler, 80 percent of vascular lesions were benign. The sensitivity and specificity of the U/S test were 93.5 percent and 98 percent, respectively. U/S is a valuable tool for distinguishing cystic hepatic lesions from solid lesions in the liver. (p=0.03). To create a data base for hepatic lesions, comparable studies with large samples must be conducted in the Taif region. With a high degree of sensitivity and specificity, the majority of chosen hepatic lesions with suspicious characteristics were confirmed as malignant in histopathology.


Author(s) Details

Dr. Rania Mohammed Ahmed
Department of Radiological Sciences, College of Applied Medical Sciences, Taif University, Taif, KSA.

Ms. Sharifah Alkathiri
Department of Radiological Sciences, College of Applied Medical Sciences, Taif University, Taif, KSA.

Ms. Waad Altalhi
Department of Radiological Sciences, College of Applied Medical Sciences, Taif University, Taif, KSA.

Ms. Hatun Eid
Department of Radiological Sciences, College of Applied Medical Sciences, Taif University, Taif, KSA.

Ms. Manar Alshalawi
Department of Radiological Sciences, College of Applied Medical Sciences, Taif University, Taif, KSA.

Ms. Sara Alotaibi
Department of Radiological Sciences, College of Applied Medical Sciences, Taif University, Taif, KSA.

View Book :- https://stm.bookpi.org/HMMS-V9/article/view/2237

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