Original Articles
Detection and characterization of focal liver masses- presentation of cases at a tertiary medical centre | |
Dr.Kanaram Yadav, Dr. Dhruv Kachhawa, Dr.Raghav Arora, Dr.Nipa Hathila | |
Introduction: Hepatic masses can be caused by a wide range of lesions, both cancerous and non- cancerous, and there are many possibilities for a differential diagnosis. The present study aims to detect and characterize focal liver masses that were presented to the department of radio-diagnosis at tertiary medical centre in Rajasthan, India. Materials and Method: The present prospective study was collected among 60 patients attending the department of Radio Diagnosis of Pacific Medical College and Hospital (PMCH), Udaipur with clinically suspected focal liver lesions, or previous images depicted focal hepatic lesions with non specific appearance. The patients were evaluated with Triple Phase CT (128 Slice Dual Source Siemens Somatom). Results: There was female preponderance in hepatocellular carcinoma (HCC) (75%), Intrahepatic CCA (Cholangio Carcinoma) (50%) and metastases (64.29%) when compared to males. All cases of Adenoma, FNH and Hemangiomas (100%) were seen in females. Of the total focal liver lesions seen in 60 patients there were 57 hypo vascular lesions accounting for 95% of the total (n=60) lesions and 3 hyper vascular lesions accounting for 5% of the total (n=60) lesions. There were 42 lesions showed arterial enhancement accounting for 70% of the total (n=60) patients and 18 lesions showed delayed enhancement accounting for 30% of the total (n=60) patients. Conclusion: The most common malignant lesion was metastases followed by HCC and Intrahepatic CCA. Hemangiomas (n=14) was the most common benign lesion, followed by and Adenoma (n=2), FNH. Hemangiomas was seen in almost all age groups; about 40% of cases of hemangioma were seen in age range of 51-60 years. Majority (42%) of the patients with metastases were in the age range of 51- 60 years. Majority (75%)of the patients with HCC were in the age range of 51-80 years. Intrahepatic Cholangiocarcinoma were in the age range of 71-90 years. Adenoma was seen in the age range of 41-50years. FNH were seen in patients < 50years. |
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