Object

Title: Assessment of value of fine and core needle biopsy in diagnosis of focal liver lesions

Abstract:

Focal liver lesions are found in the course of diseases of liver parenchyma itself and other, sometimes life threatening disorders. The aim of the study was a comparison of two types of biopsy – fine needle and core needle biopsy with regard to initial clinical diagnosis and morphology of sonographic picture. The other aim was establishment of inclusion criteria for core needle biopsy only. There were 124 patients (53 male patients, mean age 63,7, ±10,2 and 71 female patients, mean age 60,3, SD ±13,8) hospitalized in the 2nd Department of Surgery UJ CM from 1.3.2001 to 31.12.2005 in whom fine needle and core needle biopsies of focal liver lesions were performed. Patients were divided into three main groups on the basis of initial clinical diagnosis at admission. I - Patients with concomitant neoplastic disease. II - Patients previously treated due to neoplastic disease. III - Patients without previously diagnosed neoplastic disease. Analysis revealed higher percentage of correct results with regard to initial clinical diagnosis, morphology of sonographic picture and features of liver parenchyma in cases of: 1. Clinical suspicion of benign etiology of focal lesion. 2. Steatotic liver. 3. Focal lesions assessed with the use of ultrasound as hypoechogenic. 4. Focal lesions assessed with the use of ultrasound as hyperechogenic. 5. Small focal lesions (especially less than 5 ml). Core needle biopsy may be considered a better diagnostic technique that should be method of choice for histological verification of focal lesions: 1. Suspected of being benign. 2. Within steatotic liver. 3. Hypoechogenic. 4. Hyperechogenic. 5. Small ( < 5 ml).

Level of degree:

2 - studia doktoranckie

Degree discipline:

choroby układu trawiennego

Degree grantor:

Wydział Lekarski

Promoter:

Danuta Karcz

Date issued:

2007

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:1150

Call number:

ZB-105984

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Access rights:

nieograniczony

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego - Collegium Medicum

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Last modified:

Jun 24, 2019

In our library since:

Nov 21, 2012

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All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/1150

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ZB-105984 Jun 24, 2019
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