Role of ultrasonography in diagnosis of solid space occupying lesion in the liver correlation with FNAC

Authors

  • Shyamal Kumar Roy Department of Radiology, Sir Salimullah Medical College
  • Sohely Sultana Department of Radiology and Imaging, BSMMU, Dhaka
  • Nazir Uddin Mollah Department of Oncology, BSMMU, Dhaka
  • Tarana Yasmin Department of Radiology and Imaging, Enam Medical College and Hospital
  • Asish Sarker Department of Radiology and Imaging, BSMMU, Dhaka
  • Mahmood uz Jahan

DOI:

https://doi.org/10.3329/bmrcb.v41i2.29986

Abstract

This cross sectional study was carried enrolling 47 subjects with suspected solid liver mass, in the Department of Radiology and Imaging, Dhaka Medical College Hospital, Dhaka, over a period of twelve months. The aim of this study was to evaluate the diagnostic usefulness of transabdominal ultrasonography in the diagnosis of solid SOL in the liver. Majority of the respondents (42.55%) were found between 41-60 years of age. Five (10.63%) subjects were found below 20 years of age. There were 31 men (65.95%) and 16 women (34.05%). Majority of the metastasis were multiple (85%), hypoechoic (35%) and only 15% had internal calcifications. HCC was single lesion (61.53%) with hyperechoic (38.35%) echogenicity, with a central halo (76.92%) and 15.38% had internal calcifications. Majority of the cholangiocarcinoma were solitary (80%), hypoechoic (60%) and 60% had internal calcifications. Hepatoblastoma were solitary and had calcifications (60%) with mixed echogenicity (60%). Majority of the adenomas were solitary (80%), hypoechoic (60%) and only 20 % had internal calcifications. The validity of transabdominal sonography for the diagnosis of metastasis was confirmed by calculating sensitivity (100%), specificity (96.42%), accuracy (97.87%), positive (95%) and negative predictive (100%) values by using the standard formula given. The sensitivity, specificity, accuracy, positive and negative predictive values for HCC were 92.3%, 97.05%, 95.74%, 92.3% and 97.05% respectively. The sensitivity, specificity, accuracy, positive and negative predictive values for cholangiocarcinoma and hepatoblastoma were 80%, 97.61%, 95.74%, 80% and 97.61% respectively. Sensitivity, specificity, accuracy, positive and negative predictive values were 80%, 100%, 97.87%, 100% and 97.67% respectively for adenoma. From the study result it was concluded that transabdominal ultrasonography could be reliable, non-ionizing and relatively cheap procedure for diagnosis solid hepatic mass lesion.

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Published

2016-10-18

How to Cite

Roy, S. K., Sultana, S., Mollah, N. U., Yasmin, T., Sarker, A., & Jahan, M. uz. (2016). Role of ultrasonography in diagnosis of solid space occupying lesion in the liver correlation with FNAC. Bangladesh Medical Research Council Bulletin, 41(2), 81–88. https://doi.org/10.3329/bmrcb.v41i2.29986

Issue

Section

Research Papers