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Characterization of solid liver masses on ultrasound in adults
Author(s) -
Naweera Ahmad,
Akash John,
Abid Ali,
Neha Nawaz,
Muhammad Ishfaq Ahmad
Publication year - 2022
Publication title -
pakistan biomedical journal
Language(s) - English
Resource type - Journals
eISSN - 2709-2798
pISSN - 2709-278X
DOI - 10.54393/pbmj.v5i4.343
Subject(s) - medicine , hepatocellular carcinoma , ultrasound , radiology , liver cancer , retrospective cohort study , quadrant (abdomen) , surgery
Liver carcinoma is the fifth leading cancer globally and the third top cause of mortality in 2012, there were 14 million new cases and 8.2 million fatalities. Objective: To accurately define solid liver masses in adults based on clinical presentation and ultrasound findings in order to obtain a definitive diagnosis in adults. Methods: It was a retrospective study consisting of total 128 individuals with untreated liver lesions examined on ultrasound (Toshiba Xario 100) at a private tertiary care hospital in Gujrat. From January 2021 to January 2022, 65 males and 63 females, ages ranging from 30 to 70 years. A convenient sampling technique was used to collect data by fully informed consent from patients to access. Data was entered and analyzed on SPSS version 22. Results: The current study included 128 patients aged ranging from 30–70 years, being examined using ultrasound for solid liver masses. The gender frequency was 65(50.8%) males and 63(49.2%) females. Ultrasound diagnosis interprets as 62(48.4%) Hepatocellular-carcinoma, 38(29.7%) hemangioma, 11(8.6%) FNH, 3(2.3%) metastasis, and 13(10.2%) cholangiocarcinoma. Moreover, ultrasound findings regarding liver masses diagnosed includes 99(38.7%) single masses, 29(11.3%) multiple masses, 47(18.4%) normal liver parenchyma and 81(31.6%) coarse liver. The common clinical complaints associated with solid hepatic lesions were right upper quadrant pain 80(35.4%), splenomegaly 69(30.5%) and 77(34.1%) hepatomegaly. Conclusions: It is concluded that the right upper quadrant pain, hepatomegaly has a correlation to solid liver masses and a weak relation to splenomegaly irrespective to age and gender. The most common solid liver mass was Hepatocellular carcinoma (HCC). Ultrasound is a noteworthy imaging modality to diagnose solid hepatic masses.

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