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Paper Details

Diagnostic Challenges of Fine Needle Aspiration Cytology of Focal Hepatic Lesions

DR YOGENDRA MADAN, DR SHAMIM S. SHEIKH

Journal Title:PARIPEX-INDIAN JOURNAL OF RESEARCH
Abstract


Background: Space-occupying lesions (SOL), such as metastatic tumors and other focal lesions, produce changes in the liver parenchyma adjacent to lesion. Single or multiple hepatic SOL is a major indication for fine needle aspiration cytology (FNAC) to evaluate possible tumor. Method: Ultrasonographic (USG) guided FNAC was performed in 44 cases who present as hepatic SOL on USG. Cytomorphological features of hepatic SOL are discussed and diagnostic accuracy and limitations of ultrasonography guided FNAC was evaluated. Result: The diagnostic yield was 90.90%. Benign lesions were 31.81% whereas malignant lesions were 54.54%. Most common benign lesion encountered was abscess. The ratio of metastatic carcinoma to primary Hepatocelluler carcinoma in present study was 3.6: 1. Most common metastasis was of adenocarcinoma type (44.44%). Conclusion: FNAC is a safe, useful and economic procedure with minimum complication and can be routinely done for diagnosis of liver diseases.

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