To Determine the Frequency of Hepatocellular Carcinoma in Hepatitis C Patients on CT
Umer S Cheema, S Shaheen Malik, M Zakir, S M Y Farooq, H Tassadaq, T Ali Attari, Q Shahid, M Usman
Background: HCC is the third most common cause for cancer death in the world and responsible for approximately one million deaths each year. The chronic hepatitis C virus infections is associated almost 80% of HCC cases. On CT we performed a triple-phase protocol which includes early arterial phase, late arterial phase and a portal venous phase.
Aim: To determine the frequency of hepatocellular carcinoma in hepatitis C patients on computed tomography.
Methodology: In this descriptive study, 138 patients of Hepatitis C with Hepatocellular carcinoma were selected with age and gender discrimination by convenient sampling at Department of Radiology, Gulab Devi Hospital Lahore. 64 slices Computed Tomography Toshiba Asteion machine was used.
Results: Out of 138 patients in which 57(41.3%) were females and 81(58.7) were males. 56(40.6%) patients out of 138 patients had ascites, 129(93.5%) patients had cirrhosis, 29(21%) patients had shrunken liver, 138 patients had hepatitis C, 51(37%) patients had portal hypertension, 119(86.2%) patients had hyper vascular Mets and 91(65.9%) patients had hepatocellular carcinoma.
Conclusion: In this study we conclude that males are detected more than females on computed tomography with hepatocellular carcinoma. Out of 138 hepatitis C virus patients, 91 patients had hepatocellular carcinoma.
Keywords: Hepatocellular carcinoma, Multi-detector Computed Tomography, Portal venous phase.