A comparative study of cytomorphological features of primary and metastatic hepatic lesions - A tertiary care hospital experience
Keywords:Fine-needle aspiration cytology; Hepatic masses; Cytomorphology
Background: Ultrasonography (USG)-guided fine-needle aspiration cytology (FNAC) of the liver is a primary diagnostic procedure for primary and metastatic hepatic lesions. It is a minimally invasive and accurate technique and renders timely diagnosis for further management.
Aims and Objectives: The purpose of the study was to evaluate the cytomorphological features of primary and metastatic hepatic lesions.
Materials and Methods: This retrospective study was conducted in the Department of Pathology of a tertiary care hospital over a period of 2 years. 50 cases of clinically suspicious cases for hepatic malignancy were radiologically confirmed by USG and were subjected to FNAC under USG guidance with simultaneous cell block preparation in 35 cases. Relevant biochemical and serological data were retrieved from laboratory investigation archives.
Results: The study was conducted on 50 cases of hepatic lesion. Majority of cases were male patients. All liver lesions were diagnosed on USG scan. Out of 50 cases diagnosed cytomorphologically, 8 cases (16%) were diagnosed as hepatocellular carcinoma. Among metastatic lesions, more prevalent lesions were adenocarcinoma 20 (40%). The rest of metastatic deposits included poorly differentiated carcinoma 12 (24%), mucinous carcinoma 4 (8%), malignant lymphoma 3 (6%), neuroendocrine tumor 2 (4%), and malignant melanoma 1 (2%). Primary site for metastatic lesions was diagnosed in 22 cases (52.4%) and unknown in 20 cases (47.6%).
Conclusion: FNAC is a quick, feasible, and reliable procedure which enables the interpretation of cytological features of malignant hepatic masses.
- 2023-10-05 (2)
- 2023-10-02 (1)
How to Cite
Copyright (c) 2023 Asian Journal of Medical Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).