Abstract

Dr. Kumar Ravish* and Dr. Nishi Sharma

ABSTRACT

Introduction: liver lesion is commonly encountered in cancer hospital for evaluation. Necessarily not all lesion are benign rather many of them are having malignant pathology. Lesions are either single or multiple and require further evaluation. Many tools are available for further evaluation but usg guided fnac is something to rely upon. Aim and objective of the study was to evaluate the utility of usg guided fnac in liver mass to differentiate metastatic carcinoma from primary neoplasm. Material and method: A retrospective study of image guided fine needle aspiration of liver lesion was evaluated from period of 3 month April 2019 to June 2019 in department of pathology, Mahavir cancer sansthan, Patna. Result: There were 110 cases of liver lesion which was taken in consideration, in which 100 samples were having sufficient cell for diagnosis. 38 cases were having single lesion, while 52 cases were having multiple lesion on ultrasonography. More common gender overall was female while most common gender to be effected by primary was female. Most common age group was more than 50 yrs. Pain abdomen and loss of appetite was most common presenting feature. On basis of cytological evaluation 76 cases were of metastatic carcinoma, in which all cases were of adenocarcinoma. Primary cancer of liver includes 20 cases. 2 cases were poorly differentiated carcinoma. Overall metastatic adenocarcinoma is most common finding in this current study. Conclusion: Usg guided fnac is very helpful tool to diagnose neoplastic lesion of liver and efficiently differentiate between metastatic and primary liver neoplasm. It is cost effective and less time consuming tool.