Role of FNA and Core Biopsy of Primary and Metastatic Liver Disease
Table 2
Features of the equivocal cases.
Case
AFP
Cirrhosis
CT
Diagnosis
FNA
Core
1
6.6
C
I (classic)
RFA-alive
1
None
2
49
B + C
III equivocal
Expired HCC
2
None
3
14.6
C + ETOH
III equivocal
Progression
1, 1
3
4
241
C
I (classic)
Path proven HCC-surgery
3
None
5
4.1
B
I (classic)
Path proven HCC-surgery
4
None
6
3.6
C
I (classic)
Path proven HCC-surgery
6
2
7
1.8
None
III equivocal
Adenoma
4
4
8
5
C
III equivocal
Path proven HCC-surgery
3, 7
7, 7, 7
9
None
ETOH
II infiltration
Died HCC
5
None
10
14,044
C
II infiltration
Hospice HCC
1, 3
7
11
149
ETOH
I (classic)
Path proven HCC-surgery. RFA transplant
4
7
12
6.4
None
III equivocal
Progression
7
4
13
19.5
C
I (classic)
Lost to follow-up
4
7
1: atypical hepatocyte; 2: HCC versus METS; 3: HCC versus regenerating nodules; 4: HCC versus adenoma; 5: inadequate; 6: abscess; 7: no malignancy. Equivocal cases including Alpha Fetoprotein (AFP) values and presence of cirrhosis including etiology for example hepatitis C (C), hepatitis B (B), or alcohol (ETOH). The review of CT results, patient follow-up and classification of results from the cytology or histology report.
