Colour Doppler Evaluation of Common Adult Hepatic Tumors more than 2 Cm with HPE and CECT Correlation.

Liver Is A Large, Homogenous Organ And Therefore Is Well Suited For Evaluation By Many Imaging Techniques. Liver Tumors In The Adults Are One Of The Common Lesions In Day Today Practice. Common Adult Hepatic Tumors Include Hepatocellular Carcinoma, Metastases And Hemangiomas. 45 Hepatocellular Carcinoma (HCC) Represents 5% Of All Cancers And Is The Dominant Cause Of Death In Compensated Cirrhosis. HCC Incidence Is Increasing Worldwide Because Of Increasing HBV And HCV Infection. HCC Accounts For 85% Of Primary Liver Cancer. Most Patients Die Within One Year After Diagnosis. Survival Is Dependent On Tumor Size And Associated Disease At The Time Of Diagnosis. So, Early Detection Of HCC Is Very Important To Prolong The Survival. HCC Is More Common In` Males In The Age Group 30 To 60 Years.7 Liver Provides Fertile Soil In Which Metastases Can Establish, Not Only Because Of Rich, Dual Blood Supply But Also Because Of Humoral Factors That Promote Cell Growth. (The Blood Supply Of Liver Is Exceeded Only By That Of The Lung, In Terms Of Blood Flow Per Minute). Liver Is The Most Commonly Involved Organ By Metastatic Disease, After The Lymphnodes. The Liver May Be The Site Of Metastases For Virtually Any Primary Neoplasm. So, Patients With Any Malignant Neoplasm Especially With Primary Tumors Of Colon, Stomach, Pancreas, Breast, Lung And Eye Should Be Intensely Followed Up With Ultrasound And If Any Lesion Is Detected, Colour Doppler Can Be Utilized For Early Diagnosis And Treatment.22 Hemangiomas Are The Most Common Benign Liver Tumors. Reported Incidence Of Hepatic Hemangiomas Is 2%. The Prevalence At Necropsy Is As High As 7.4%. Most Hepatic Hemangiomas Are Diagnosed At 30 To 50 Years With Females More Affected Than Males.45 The Study Of Liver Tumor Is Particularly Challenging. In Many Cases, A Preoperative Diagnosis May Be Achieved With Appropriate Combination Of Imaging Techniques In A Purely Noninvasive Fashion. This Is Important Because Many Adults Have Benign Nonsurgical Hepatic Lesions Such As Hemangiomas.45 There Are Several Imaging Modalities To Evaluate Focal Liver Lesions Starting From Plain Radiograph, USG And Doppler, CT, MRI, Angiography And Nuclear Medicine Techniques. Ultrasound And Doppler Is The Initial, Noninvasive, Easily Available Modality To Characterize Focal Liver Lesions Followed By CECT Or MRI. Scintigraphy Done For Selected Cases. Angiogram Is Done Prior To Embolization.3