Title: Imaging Evaluation of Biliary Neoplasms
Authors: Braja Bihari Panda, Goguldeep V, Shamimun Nisa, Bararuchi Dash, Savitri Bhagat
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.21
Abstract
Aims and Objectives: To demonstrate the role of USG and triple phase CE-MDCT in accurate diagnosis, staging of biliary neoplasms and to study their epidemiology, risk factors and imaging findings.
Materials and Methods: It was a hospital based, observational, descriptive and cross sectional study with a sample size of 120 cases during the period of 2 yrs. in the department of radio diagnosis, VIMSAR. Patients referred to our department with symptoms and imaging findings s/o malignancy were included. Non-neoplastic pathologies were excluded from the study. The patients were subjected to USG with Doppler, MDCT and FNAC.
Results: Of the total 50 cases, the distribution was, Carcinoma gall bladder-35, Cholangiocarcinoma- 15.
Conclusion: The fact that most of the biliary neoplasms are malignant should be kept in mind. Carcinoma GB was the most common biliary tumor. Both USG and CECT are highly sensitive and specific and often complementary. Ultrasound with doppler should be the initial modality because of its real time high resolution images, cost effective nature. Regular ultrasound and CT screening programs in high risk patients like cholelithiasiscan help in early detection of malignant change.
Keywords: Biliary neoplasms, Ultrasound, Computed tomography.
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