Background: Liver lesions have a broad spectrum of pathologies ranging from benign liver lesions such as hemangiomas to malignant lesions such as primary hepatocellular carcinoma and metastasis. The aim of this work was to evaluate the utility of liver biopsy in patients with radiologically undiagnosed hepatic lesions
Methods: This observetional study was done on 40 adult Patients with radiologically detected& undiagnosed hepatic lesions, presented to the Radiological department at Banha University hospitals. All patients were subjected to the following: History taking, Pre-procedural Laboratory assessment, Radiological assessment, Ultrasound guided core needle biopsy from the hepatic lesion, Post-procedural sonographic follow-up was done by about 4hours to detect the occurrence of any complications,
Results: The histopathology outcome in the study participants was metastatic adenocarcinoma in 19 (47.5%) participants, poorly differentiated HCC in 9 (22.5%) participants, Moderately differentiated HCC in 6 (15.0%) participants, cholangiocarcinoma in 2 (5.0%) participants, post hepatic liver cirrhosis in 2 (5.0%) participants, fibro hyaline tissue with inflammatory cells and focal nodular hyperplasia each in 1 (2.5%) participant.
Conclusions: This study suggests that liver masses in this patient group were often large, poorly defined, and involved multiple lesions. The predominance of metastatic adenocarcinoma, along with the diverse origins of these metastases, highlights the importance of considering multiple potential primary sites when evaluating liver lesions