The Role of Ultrasound and Computed Tomography in Evaluating Abdominal Wall Masses, Mass-like Lesions, and Diffuse Processes: Correlation with Histopathology (Code-T0125)
Keywords:
ultrasound, computed tomography, abdominal wall masses, histopathology, diagnostic imaging, diffuse processes.Synopsis
Introduction: Abdominal wall masses, mass-like lesions, and diffuse processes are clinically significant, necessitating accurate evaluation to guide management. Imaging modalities such as ultrasound (US) and computed tomography (CT) play a pivotal role in the diagnosis and characterization of these conditions, with histopathological correlation being crucial for definitive diagnosis.
Aims and Objectives: To evaluate the diagnostic accuracy and complementary roles of US and CT in assessing abdominal wall masses, mass-like lesions, and diffuse processes, and to establish correlation with histopathological findings.
Methods: This prospective study included patients presenting with abdominal wall abnormalities. All patients underwent US and CT imaging, with findings documented for size, location, composition, and vascularity of lesions. Imaging results were compared against histopathological outcomes, where available, to determine sensitivity, specificity, and diagnostic accuracy.
Results: A total of 120 cases were studied. Ultrasound was highly sensitive for detecting superficial and cystic lesions, while CT provided superior detail in evaluating deep-seated, complex, and infiltrative processes. Combined US and CT imaging achieved a diagnostic accuracy of 92% when compared with histopathology. Common lesions included lipomas, abscesses, desmoid tumors, and metastatic deposits. Diffuse processes such as cellulitis and fasciitis were also well-characterized.
Conclusion: Ultrasound and CT are complementary tools in evaluating abdominal wall masses and diffuse processes, with histopathological correlation enhancing diagnostic confidence. The integration of both modalities ensures accurate diagnosis, aiding in optimal patient management.
Keywords: ultrasound, computed tomography, abdominal wall masses, histopathology, diagnostic imaging, diffuse processes.
