Sonographic diagnosis of solitary solid liver nodules in cancer patients

The purpose of this study was to analyse the sonographic patterns of solitary solid liver lesions in cancer patients and to evaluate the diagnostic accuracy of ultrasound alone and in combination with other techniques (liver function tests, histology). A total of 422 solitary solid liver lesions (SS...

Full description

Saved in:
Bibliographic Details
Published in:European radiology 1996-01, Vol.6 (4), p.439-442
Main Authors: Bruneton, J N, Raffaelli, C, Balu-Maestro, C, Padovani, B, Chevallier, P, Mourou, M Y
Format: Article
Language:English
Subjects:
Alkaline Phosphatase - analysis
Fatty Liver - diagnosis
Fatty Liver - diagnostic imaging
Follow-Up Studies
Forecasting
gamma-Glutamyltransferase - analysis
Hemangioma - diagnosis
Hemangioma - diagnostic imaging
Humans
Hyperplasia
Isoenzymes - analysis
Liver - diagnostic imaging
Liver - pathology
Liver Function Tests
Liver Neoplasms - diagnosis
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - pathology
Liver Neoplasms - secondary
Neoplasms - complications
Neoplasms, Multiple Primary - diagnosis
Neoplasms, Multiple Primary - diagnostic imaging
Predictive Value of Tests
Retrospective Studies
Ultrasonography
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The purpose of this study was to analyse the sonographic patterns of solitary solid liver lesions in cancer patients and to evaluate the diagnostic accuracy of ultrasound alone and in combination with other techniques (liver function tests, histology). A total of 422 solitary solid liver lesions (SSLL) were diagnosed by ultrasound in cancer patients; 197 lesions were benign and 225 malignant. The predominant aetiology for hypoechoic SSLL (128 cases) was metastasis (112 cases), whereas most hyperechoic SSLL (265 cases) were haemangiomas (155 cases) rather than a metastasis (86 cases). The 29 isoechoic SSLL included 27 metastases and 2 benign lesions. A halo was found to be highly predictive of malignancy (97%-100%). The positive predictive value for malignancy of an SSLL was very high when the results of liver function tests were abnormal (97%-100%). In our experience, histological proof is unnecessary in the majority of liver lesions in cancer patients.
ISSN:0938-7994
1432-1084
DOI:10.1007/BF00182462