Efficacy of CECT in Diagnosis of Hepatocellular Carcinoma with Histopathogical Correlation


Authors : Ramiya R; V. Sivaprakash; Rubi P

Volume/Issue : Volume 10 - 2025, Issue 7 - July


Google Scholar : https://tinyurl.com/u6bf8kdt

Scribd : https://tinyurl.com/3tp4z3a5

DOI : https://doi.org/10.38124/ijisrt/25jul1923

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Abstract : Introduction Hepatocellular carcinoma (HCC) is a primary liver cancer that originates in the hepatocytes, the main functional cells of the liver. The advancements of Computed Tomography (CT) play major role in detecting liver pathologies. Injection of contrast media is primary while imaging liver region, So Contrast Enhanced Computed Tomography (CECT) is the best choice for this imaging. Though, CECT performed with hepatocellular carcinoma plays important role in assessing the size, margins and relationship with other structures.  Methods The retrospective observational crossover study included 30 patients who undergone for Contrast Enhanced Computed Tomography in department of Radio-Diagnosis at saveetha Medical College & Hospital. Patient demographics were analyzed & Chi-square test was used to perform statistical analysis for hypothesis.  Results The study included 24 males and 6 females with mean age of 40 years. Histopathology examination revealed 22 cases of HCC, out of which 19 were provisionally diagnosed in CECT.Out of this 22 patients, 16 were male and 6 were female, revolving a significant male gender predisposition.  Discussion The use of CECT improves lesion detection, size, type of carcinoma .This re -emphasizes the fact that male have significantly higher risk of liver cancer whichcomposed to females. Multiple diagnosis like alcohol consumption coupled with cirrhosis, hepatitis B and Hepatitis C infection, increased iron storage level have been postulated for males having a higher predisposition for HCC than females.  Conclusion The diagnosis of hepatocellular carcinoma and co-relation with histopathology contrast enhanced CT and conventional contrast enhanced CT, both performs equal role in detecting pathologies in the Abdomen region. Applying the correct useful technique in the region of interest helps to demonstrate the anatomical position and nature of the pathology.

Keywords : Hepatocellular Carcinoma; Contrast Enhanced Computed Tomography; Cirrhosis; Hepatitis.

References :

  1. Hoquw HW, Alam S, Ahsan S, Islam MN CT evaluation of HCC with histopathological correlation. 2007 Aug;33(2):73-7.
  2. Zheng KG, Shen JX , Wang GS, Xu DS. Small HCC with peripheral enhancement: pathological correlation with dual phase images by helical CT.Chin Med J (Engl).2007 Sep20;120(18):1583-6.
  3. Osteaux M, Op De BeeelB ,Hoorens A, Dujardin M, Goes E. Radiological Differential diagnosis of focal liver lesions with anatomo-pathological corelation. J Radiol.2002 Feb;83(2 pt 2);269-91.
  4. Elsayed EE, Koryem EM, Mohammed SA multidetector computed tomography in the dtetection of hepatocellular carcinomas meeting the milian criteria before liver transplantation.Menoufia Med J.2016;29;291-96.
  5. Lee HY,LeeJM,Kim SH, Shin KS detection and characterization of focal hepatic lesions: comparative study of MDCT and histopathology 2008;32(4):287-95.
  6. Hafeez S, Alam MS, Sajjad Z, Khan ZA ,Akhter W, Mubarak triphasic computed tomography (CT) scan in focal tumoral liver lesions. Pak Med Assoc 2011;61(6):571-75.
  7. Chauhan U ,Solanki RS ,Udiya AK, Shetty GS , Narula MK.Triple phase computed tomography in hepatic masses.J Med Thesis.2015;3(1):23-30.
  8. Gopalkrishnan S, SethurajanAdaikappan Gunasekaran P, Vivek Real time ultrasonography Evaluation of focal liver lesions: A cross- sectional Study. International Journel of scientific study; 2014 : Vol 2:7.
  9. Mortele KJ, Ros PR (2001) Cystic focal liver lesion in the adult : differential CT and MR imaging features . Radiographic 21:895-91.
  10. EbiedO, Federle MP , B lachar A (2003) Hepatocellular colangiocarcinoma helical computed tomography finding in 30 patient J ,Compute Assist Tomogram 27:117-124.
  11. Van Leeven MS, Noordzji J , Feiberg MA , Hennipman AH , Doomeewaard H , Focal liver lesions: characterization with tri-phasic computed tomography, Radiology 1996;201(1);327-36.
  12. Ahirwar CP, Patil A, Soni N. Role of triple phase computed tomography findings for evaluation of hepatic lesions.int J Res Med Sci.2016;4:3576-83.
  13. Javed IF, Rukhsana JF. Prevalence of hepatocellular carcinoma in Pakistan in Liver cirrhosis: An experience in NWFP. J Coll Physicians Surg Pak 2000;2:54-5.
  14. Miller FH, Butler RS, Hoff FL, Fitzgerald SW, Nemcek AA jr, Gore RM. Using triphasic helical computed tomography to detect focal hepatic lesions in patients with neoplasm. AJR Am J ROENTGENOL 1998; 171:643-9.

Introduction Hepatocellular carcinoma (HCC) is a primary liver cancer that originates in the hepatocytes, the main functional cells of the liver. The advancements of Computed Tomography (CT) play major role in detecting liver pathologies. Injection of contrast media is primary while imaging liver region, So Contrast Enhanced Computed Tomography (CECT) is the best choice for this imaging. Though, CECT performed with hepatocellular carcinoma plays important role in assessing the size, margins and relationship with other structures.  Methods The retrospective observational crossover study included 30 patients who undergone for Contrast Enhanced Computed Tomography in department of Radio-Diagnosis at saveetha Medical College & Hospital. Patient demographics were analyzed & Chi-square test was used to perform statistical analysis for hypothesis.  Results The study included 24 males and 6 females with mean age of 40 years. Histopathology examination revealed 22 cases of HCC, out of which 19 were provisionally diagnosed in CECT.Out of this 22 patients, 16 were male and 6 were female, revolving a significant male gender predisposition.  Discussion The use of CECT improves lesion detection, size, type of carcinoma .This re -emphasizes the fact that male have significantly higher risk of liver cancer whichcomposed to females. Multiple diagnosis like alcohol consumption coupled with cirrhosis, hepatitis B and Hepatitis C infection, increased iron storage level have been postulated for males having a higher predisposition for HCC than females.  Conclusion The diagnosis of hepatocellular carcinoma and co-relation with histopathology contrast enhanced CT and conventional contrast enhanced CT, both performs equal role in detecting pathologies in the Abdomen region. Applying the correct useful technique in the region of interest helps to demonstrate the anatomical position and nature of the pathology.

Keywords : Hepatocellular Carcinoma; Contrast Enhanced Computed Tomography; Cirrhosis; Hepatitis.

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Paper Submission Last Date
31 - December - 2025

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