Liver tumors diagnosis by ultrasound or CT scan guided FNA

Abstract

Tumors of the liver are relatively uncommon but are increasingly recognized. It is either benign or malignant (Primary or metastatic). Malignant hepatic tumors are a leading cause of death throughout the world. Routine Laboratory studies usually reflect abnormalities associated with the underlying chronic liver disease. Imaging techniques that aid in the diagnosis include ultrasound, CT and MRI. Percutaneous fine – needle biopsy may be needed to confirm the diagnosis. To investigate the value of ultrasound with FNA and or CT scan with contrast with FNA in the diagnosis of liver tumors. The study include 58 patients ( Males and females) suspected to have liver tumors depending on the history, clinical examination and risk factors for developing hepatic tumors were examined in Tikrit teaching hospital by both ultrasound and CT- Scan with contrast followed by FNA of the mass under either ultrasound or CT- Scan. Both ultrasound and CT-Scan can detect hepatic lesions especially if good circumstances are available such as good technique, operator and contrast agent however in CT-scan the slices might be smaller in size and the homogeneity play a small role in the diagnosis of this technique. Fine needle cytology may help in the diagnosis and define the nature of the mass and help to decide about the nature of the treatment by a relatively simple and safe procedure