Image guided fine needle aspiration cytology study of Liver lesions

Abstract

Background: Image guided fine needle aspiration cytology (FNAC) is a rapid, accurate and safe diagnostic procedure that can be used in various neoplastic and nonneoplastic

diseases of the liver.

Objectives: This study undertaken to emphasise the utility of image guidance in  FNAC diagnosis of liver lesions and to categorise the various hepatic lesion and also to correlate clinical features, radiological findings  and laboratory investigations  with  cytological diagnosis.

Methods: The present study includes 55 Liver  FNAC cases studied over a 5-year period (June 2011- July 2016).After detailed clinical details and examination patient is subjected to radiological(USG or CT) examination.Patients with liver lesions were subjected to guided FNAC.Various parameters like age,sex,biochemical investigations, radiological diagnosis and cytological diagnosis correlated.

Results: A total of 55 Liver FNAC cases were collected over 5 years. The mean age was 56.79 years and the male to female ratio was 1.6:1. Out of 55 cases 11 were non neoplastic lesions and rest 44 cases were neoplastic lesions.Primary tumors of Liver were 24 and 20 cases were metastatic tumors.

Conclusions: In present study FNAC helped to  distinguish non-neoplastic from neoplastic lesions, and  categorize different lesions & differentiate primary from metastatic tumors.