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Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 141
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DOI: https://doi.org/10.55046/vjrnm.6.235.2012
Issue
No. 6 (2012)
Section
Scientific research
How to Cite
Nguyen, T. D. T., Hoang, M. L., Nguyen, D. C., Nguyen, P. B. Q., & Phan, T. A. (2022). Core biopsies for focal hepatic lesions by ultrasound guidance. Vietnamese Journal of Radiology and Nuclear Medicine, 6, 81-85. https://doi.org/10.55046/vjrnm.6.235.2012

Core biopsies for focal hepatic lesions by ultrasound guidance

Nguyen Thi Da Thao1, Hoang Minh Loi1, Nguyen Dinh Can1, Nguyen Phuoc Bao Quan1, Phan Trong An1,
1 Hue Central Hospital and Hospital Hue University of Medicine and Pharmacy

Main Article Content

Abstract

SUMMARY


All percutaneous US-guided biopsies for focal liver lesions performed in 37 patients. Among the 54 lesions for which the 18- gauge cutting needle was used, core biopsy was performed once in 23 lesions (62.2%), twice in 11 lesions (29.7%), and three times in 3 lesions (8.1%). The length of tissue cores was above 1cm in 44 lesions (81.5%). Three of the 54 specimens (5.6%) fragmented when placed in formalin. The common complications were 2.7%. No major complications were observed. The core biopsy specimen was sufficient for diagnosis in 36 patients (97.3%) and was insufficient in one. Histologic examination revealed various types of H.C.C (62.2%), peripherial cholangiocarcinoma (2.7%), secondary malignant tumors (8.1%), benign tumors (24.3%). There was high concordance between the histologic and cytologic results (Kappa = 0.579, p < 0.05); and very high concordance between the core biopsy and post surgery histologic results (Kappa = 0.942, p < 0.05).

Article Details

Keywords

core biopsy, focal hepatic lesions, HCC, cholangiocarcinoma

References

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