Background: Focal lung masses are common radiological fi ndings which need to be characterized to plan management. Suspicious lesions require invasive investigations and aggressive treatment. However, likely benign lesions require no invasive investigations. Objectives: We aimed to correlate the computerized tomography fi ndings of focal lung lesions with pathological diagnoses. Methods: A total of 56 patients were enrolled in the study. Plain and contrast enhanced computerized tomography scan of chest was done in spiral computerized tomography. Radiologist's computerized tomography reports were obtained. Pathological diagnosis were followed in all cases and recorded. computerized tomography reports were compared with pathological reports and validity of computerized tomography in predicting the nature of lung lesion was assessed. Results: Overall, squamous cell carcinoma was the most common histological cell type (46.34%) followed by adenocarcinoma (41.46%). In 95.12% of total cases, size of the malignant lesion was more than 3cm. Squamous cell carcinoma was the most common tumor located centrally (71.42%) and adenocarcinoma peripherally (55.55%). Spiculated margin was most commonly associated in malignant lesions. Among morphological characters, chest wall invasion and mediastinal invasion were statistically signifi cant for malignancy. Contrast enhancement more than 20 hounsfi eld unit had more than 80% sensitivity and specifi city for malignant lesions. Sensitivity of computerized tomography combining all morphological characteristics for depicting malignancy was 97.6% and specifi city was 46.7%.
Conclusion:The present study showed that contrast enhanced computerized tomography provides more precise tumor localization, characterization and intrathoracic extension to differentiate benign from malignant lung lesion. Enhancement of the lesion is more specifi c for malignancy than other morphological characteristics.
Introduction: Surgical jaundice or obstructive jaundice is one of the common causes of jaundice. It is important cause of morbidity and mortality in an adult, common at 40-60 years of age and the incidence is increasing day by day. The purpose of this study was to use easily available ultrasonography in the diagnosis of causes of obstructive jaundice and to determine its effectiveness by comparing with Fine Needle Aspiration Cytology (FNAC).
Primary ovarian lymphoma (POL) refers to involvement of the ovary with lymphoma but without the involvement of any other site. It is an extremely rare yet well-recognized condition. We present to you a case of 25 year old female who presented with abdominal distension and mild lower abdominal pain for 4 weeks diagnosed radiologically and pathologically as primary ovarian lymphoma.
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