An assessment of Ultrasound screening for soft tissue lumps referred from primary care

Clinical Radiology
M CharnockV Wilkinson

Abstract

To assess the efficacy of ultrasound as a screening tool in the assessment of soft-tissue masses referred from primary care and to investigate the incidence of malignancy in this population. Retrospective analysis was performed on patients who underwent ultrasound for a suspected soft-tissue mass at our centre between January 2011 and December 2012. Patient demographics, ultrasound findings, further imaging investigations and histopathology were recorded. Patient records were followed up for a minimum period of 4 years. A benign sonographic diagnosis was found in 95% (2271/2399) patients and 91% (2069/2399) required no further imaging or histopathology assessment. Ninety-six patients with a benign sonographic diagnosis had a benign histological diagnosis and one patient was found to have a histologically proven malignancy. Five percent (122/2,399) had an indeterminate scan. Of these, 40 had a histologically proven benign lesion and 10 had a histologically proven malignancy. Six of the 2,399 (0.2%) patients had scans suggestive of malignancy with histological confirmation. In total, 0.7% (17/2399) had proven malignant lesions. Eight were sarcomas. The present study, which to the authors' knowledge is the first to focus on ultras...Continue Reading

Citations

Jan 19, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Juan Enrique BernerManiram Ragbir
May 4, 2021·Radiology. Artificial Intelligence·Benjamin WangRonald S Adler

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