Accuracy of High-Resolution Ultrasound for Evaluating Soft Tissue Tumours of the Hand and Wrist
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2012, Vol 5, Issue 4
Abstract
Objectives: High resolution ultrasound (HRUS) is increasingly popular in the assessment of soft tissue tumours. This retrospective study evaluates the reliability of HRUS in diagnosing soft tissue tumours of the hand and wrist, compared to clinical evaluation, intraoperative findings and histological examination. Methods: Sixty-three patients with soft tissue tumours of the hand and wrist were first evaluated clinically investigated. HRUS was then performed using a 5-17 MHz broadband linear probe, with the radiologist blinded to the clinical interpretation. The patient was scheduled for operation depending upon suspected pathology. Histological examination was routinely obtained during surgery. Results: Thirty-one patients underwent surgery. Of the 16 solid lesions HRUS was right in 15 cases (94%). Only nine of these 16 lesions (56%) were correctly diagnosed on clinical examination (p= 0.041). All 15 cysts were correctly diagnosed by HRUS, whereas clinical examination alone correctly diagnosed a cyst in 14 patients (not significant). Conclusion: No significant difference was found in the differentiation of cystic and solid lesions comparing HRUS and clinical examination. HRUS is significantly better than clinical diagnosis alone in distinguishing the type of solid lesions. Further benefits of HRUS include the identification of atypically localised cysts and improved preoperative planning.
Authors and Affiliations
Jan van Aaken| Hôpital Universitàire de Genève, Service de Chirurgie Orthopédique et Traumatologie de l'Appareil Moteur, Genève, Switzerland, Jean-Yves Beaulieu| Hôpital Universitàire de Genève, Service de Chirurgie Orthopédique et Traumatologie de l'Appareil Moteur, Genève, Switzerland, Philippe Vostrel| Hôpital Universitàire de Genève, Service de Chirurgie Orthopédique et Traumatologie de l'Appareil Moteur, Genève, Switzerland, Stephan Kämpfen| Hôpital Universitàire de Genève, Service de Chirurgie Orthopédique et Traumatologie de l'Appareil Moteur, Genève, Switzerland, Stefano Bianchi| CIM SA, Centre Immagerie Malagnou, Genève, Switzerland
Keywords
Related Articles
- EP ID EP8891
- DOI 10.3889/MJMS.1857-5773.2012.0236
- Views 323
- Downloads 15
Quantitative Analysis of Adrenal Cortical Histological Alterations After Application of Medroxyprogesterone Acetate
Aim. The aim of our investigation was to make a quantification of the changes being registered by a quantitative histological analysis of adrenal cortex after long-term application of high doses of medroxyprogesterone...
Occupational Sharp Injuries and Biological Markers of Hepatitis B and Hepatitis C Viral Infection in Nurses
Background: Nurses are at risk for occupational exposure to blood-borne pathogens (BBP), including hepatitis B (HBV), and hepatitis C virus (HCV). Occupational exposure to BBP among nurses includes percutaneous injurie...
Neck Circumference as a Simple Screening Measure for Identifying Egyptian Overweight and Obese Adults
Background: Neck circumference (NC) is a simple screening measure for identifying overweight and obesity. Aims: To determine whether a single measure of NC might be used to identify overweight and obesity, and to defi...
Genetic Variants in the Methylenetetrahydrofolate Reductase Gene in Egyptian Children with Conotruncal Heart Defects and their Mothers
Aim: This study aimed at evaluation of MTHFR 677C/T and 1298A/C polymorphisms in MTHFR gene as maternal risk factors in conotruncal heart defects (CTDs). Material and Methods: Thirty cases with CTDs and their mothers a...
Factors Affecting Recurrence of Hepatitis C Virus in Adult Living Donor Liver Transplantation Among Egyptian Patients
Background. The population in Egypt has a heavy burden of chronic liver disease, mostly due to chronic infection with hepatitis C virus. Aim. To study prevalence and the factors affecting on recurrence of HCV genotype...