IJCRR - 7(1), January, 2015
EVALUATION OF LIVER SPACE OCCUPYING LESION WITH SPECIAL REFERENCE TO ETIOLOGY AND CO-MORBID CONDITION
Author: Sahid Imam Mallick, Phani bhusan Sarkar, Sauvik Dasgupta, Auriom Kar, Soumavo Mukherjee, Sneha Jatan Bothra, N B Debnath
Background: Identifying etiology and co-morbid conditions of SOL liver is important for further management.
Objectives: To evaluate the different causes of Space Occupying Lesion (SOL) of liver and find out etiology of liver tumor among
patients of SOL of liver and also short term follow up of treatable condition.
Method: Observational study is done over 1 year on 40 patients aged above 12 years with SOL liver who has attended General
Medicine outdoor and/or indoor of NRS Medical College and Hospital. Longitudinal type of prospective study techniques have
been used to analyses data.
Results: The study shows that the highest percentage (27.5) of SOL seen in 51-60 years of age group and male were affected
more than females (70% and 30% respectively). Metastatic adeno carcinoma was the commonest cause of liver SOL (32.55) followed
by amoebic and pyogenic liver abscess (20% and 15% respectively). On 6 months follow up there was 83.33% complete
resolution of pyogenic abscesses and 37.5% complete resolution of amoebic liver abscesses.
Conclusion: Majority of liver SOL are metastatic adenocarcinoma. Next common SOL is amoebic liver abscess, followed by
pyogenic liver abscess. Majority of liver abscesses responded with antibiotics.
Keywords: Liver, Space Occupying Lesion (SOL), Adenocarcinoma, Liver abscess
Sahid Imam Mallick, Phani bhusan Sarkar, Sauvik Dasgupta, Auriom Kar, Soumavo Mukherjee, Sneha Jatan Bothra, N B Debnath. EVALUATION OF LIVER SPACE OCCUPYING LESION WITH SPECIAL REFERENCE TO ETIOLOGY AND CO-MORBID CONDITION International Journal of Current Research and Review. 7(1), January, 28-33
1. Nagorney DM: Benign hepatic tumors: Focal nodular hyperplasia and hepatocellular adenoma. World J Surg 1995; 19:13-18.
2. Ross D, Pina J, Mirza M, et al: Regression of focal nodular hyperplasia after discontinuation of oral contraceptives [letter]. Ann Intern Med 1976; 85:203-4.
3. Mathieu D, Kobeiter H, Maison P, et al: Oral contraceptive use and focal nodular hyperplasia of the liver. Gastroenterology 2000; 118:560-4.
4. Czermak BV, Akhan O, Hiemetzberger R, et al: Echinococcosis of the liver. Abdominal Imaging 2008; 33:133-43.
5. Pickren JW, Tsukada Y, Lane WW: Liver metastasis: Analysis of autopsy data. In: Weiss L, Gilber HA, ed. Liver Metastases, Boston: CK Hall; 1982:2-18.
6. Rockey DC: Hepatobiliary infections. Curr Opin Gastroenterol 2001; 17:257-61.
7. Syed MRR, Nasir I, M Azhar N, M Asif R:Evaluation of liver masses on CT scan: Professional med. journal. sep 2006 13(3) 431-434.
8. European Journal of Radiology. 2010 Apr; 74(1):195-8. doi: 10.1016/j.ejrad.2009.01.017. E.Pub 2009 Feb 12.
9. Sheen IS, Chien CS, Lin DY, Liaw YF: Resolution of liver abscesses: comparison of pyogenic and amebic liver abscesses. Am j tropical med hyg 1989 Apr,40(4); 384-9.