Fonte GEM, Misas MM, González SI

Language: Spanish
References: 12
Page: 390-397
PDF size: 170.14 Kb.

ABSTRACT

Background: abdominal ultrasound is essential for the accurate diagnosis of focal liver lesions. Benign or malignant tumors are commonly detected by this test, although confirmation is completed with clinical signs and biopsy results.
Objective: to analyze the relationship between clinical, imaging and anatomopathological diagnosis of focal liver lesions.
Methods: a descriptive study was conducted in 60 patients with liver lesions diagnosed by ultrasound in the imaging center of the Dr. Gustavo Aldereguía Lima Hospital in Cienfuegos, from March 1st, 2011 to March 31st, 2012. The variables were: age, gender, skin color, reasons for conducting ultrasound, personal medical history, ultrasonographic features, topography and number of lesions and anatomopathological results.
Results: the most affected patients were 40 to 59 years old, predominantly female (63.4 %) and white (70%). Echogenic and anechoic tumor images prevailed, especially in the right hepatic lobe. The most common cause for conducting ultrasound was abdominal pain. Benign lesions (63.3%) were noted, and the most frequently observed tumor was hemangioma. Liver metastases were more common than primary liver tumors.
Conclusion: there was very a positive relationship between ultrasonographic and anatomopathological findings in focal liver lesions, showing differences between them and clinical presentations.

REFERENCES

1. Chaparro M, González L, Moreno R. Potencial de la ultrasonografía ecopotenciada en la caracterización de las lesiones focales hepáticas. Med Clin (Barc). 2008 ; 131 (2): 73-7.

2. El-Seraq HB. Epidemiology of hepatocellular carcinoma. In: Arroyo V, Sánchez A, Fernández J, Forns X, Ginés P, Rodes J. Advances in the therapy of liver disease. Barcelona: Ed. Ars; 2007. p. 159-70.

3. Ugarte JC, Ugarte D. Avances imagenológicos en el diagnóstico de los tumores hepáticos. Experiencia del CIMEQ. In: Hernández JC, Samada M. Hepatología 2006. Ciudad de La Habana: CIMEQ; 2006.

4. Parrilla Delgado ME, López Soto MV, Valls Pérez O. Hígado. In: Atlas de ecocitopatología diagnóstica en las lesiones abdominales [Internet]. La Habana: Editorial Ciencias Médicas; 2006. [ cited 19 Nov 2010 ] Available from: http://bvs.sld.cu/libros/libro_de_ecocipatologia/ca pitulo2.pdf.

5. Ramia JM, Muffak K, Villar J, Garrote D, Ferrón JA. Tumores hepáticos sólidos benignos. Cir Esp [revista en Internet]. 2005 [ cited 19 Sep 2012 ] ; 77 (5): [aprox. 14p]. Available from: http://www.aecirujanos.es/revisiones_cirugia/200 5/Mayo1.pdf.

6. Broderick LS, Kopecky KK, Cramer H. Image-guided coaxial fine needle aspiration biobsy with a side- exiting guide. J Comput Assist Tomogr. 2002 ; 26 (2): 292-7.

7. Valls Pérez O, Parrilla Delgado M, Rodríguez Brito A. Estudio comparativo en las afecciones del hígado. In: Atlas comparativo entre ultrasonido diagnóstico y tomografía axial computarizada. La Habana: Editorial Científico-Técnica; 1988. p. 213-59.

8. Miranda R; Stambuk J; Vial MT, Miranda A. Peliosis hepática focal: Caso clínico radiológico. Rev Med Chile [revista en Internet]. 2010 [ cited 19 Sep 2012 ] ; 8 (9): [aprox. 10p]. Available from: http://www.scielo.cl/scielo.php?pid=S0034-98872 010000900008&script=sci_arttext.

9. Losada MH, Roa JC, García MD, Araya JC, Burgos Luis, Silva J. Hepatocarcinoma con componente sarcomatoide: Caso clínico. Rev méd Chile [revista en Internet]. 2007 [ cited 12 Feb 2013 ] ; 135 (6): [aprox. 11p]. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext &pid=S0034-98872007000600012&lng=es. http://dx.doi.org/10.4067/S0034-9887200700060 0012.

10. Ponferrada A, Salcedo M, Matilla A, Núñez O, Bañares R, Álvarez E, et al. Heterogeneidad clínica y evolutiva del hemangioendotelioma epitelioide hepático. Gastroenterol Hepatol. 2005 ; 28 (6): 321-5.

11. Baldomir Mesa T, Jiménez González G, Vergara Hidalgo M. Rotura gástrica por hemangioma esplénico. Presentación de un caso. Acta Médica del Centro [revista en Internet]. 2012 [ cited 12 Feb 2013 ] ; 6 (1): [aprox. 9p]. Available from: http://www.actamedica.sld.cu/r1_12/pdf/hemangi oma.pdf.

12. Linares A, Rodríguez M, González ML, Velásquez FR, Martínez M, González N, et al. La ecografía en el diagnóstico del carcinoma hepatocelular. Revista Española de Ecografía Digestiva [revista en Internet]. 2006 [ cited 19 May 2012 ] ; 8 Suppl 1: [aprox. 20p]. Available from: http://www.ecodigest.net/revista/numeros/suppl_ 1_06/linares_supl_1_06_5.htm.