Table 1.
Biopsy target and tissue results.
| Biopsy # | CT targeted Location | Targeted tissue based on cytology or histopathology | POC Reviewers score (mean± SD) | Cytology touch preparation | Pathology confirmed diagnosis |
|---|---|---|---|---|---|
| 1 | LIRADS 5 / Hypodense part | HCC | 2.9 ± 0.2 | Atypical hepatocytes, favor for HCC | Majority of the section has marked micro to normo-vesicular hepatocellular lipidosis. Multifocal areas of moderate lymphocytic infiltrates are observed. A small focus of slightly enlarged hepatocytes double rowed with dilated sinusoids is observed (suspect adenoma) |
| 2 | LIRADS 5 / Hypodense part | HCC | 2.4 ± 0.5 | Atypical hepatocytes, favor for HCC | The majority of cells have moderate to marked vesiculation, have mild cell size and nuclear size variation, and a few rare large neoplastic cells are observed (HCC). |
| 3 | Left lateral lobe | Normal | 0 ± 0 | Mostly blood and benign-appearing hepatocytes | No tissue present |
| 4 | Left lateral lobe | Normal | 0 ± 0 | Mostly blood and benign-appearing hepatocytes | A small piece of only hemorrhage and necrosis and a section of liver with moderate to marked portal lymphocytic infiltrates, biliary hyperplasia and foci of vacuolated cells adjacent to portal areas are observed (chronic hepatitis). |
| 5 | Left lateral lobe | Normal | - | Atypical hepatocytes, favor for HCC | Within normal liver limits. |
| 6 | LIRADS 5 / Hyperdense part | HCC | 2.1 ± 0.2 | Atypical hepatocytes, favor for HCC | Mixture of cells with moderate vesiculation and trabeculae of amphophilic neoplastic cells is observed/ |
| 7 * | LIRADS 5 / Cranial part; normal iver, quadrate obe | HCC | 2.2 ± 0.3 | Atypical hepatocytes, favor for HCC | Both sections have areas of normal hepatocytes, mildly vesiculated hepatocytes, trabecular hepatocytes and multiple bizarre giant cells. A few foci of moderate to marked lymphocytic infiltrates are observed (HCC). |
| 7.1 * | 2.0 ± 0 | ||||
| 8 | LIRADS 5 / Hypodense part | Normal/Non-diagnostic | 0.2 ± 0.4 | Non-diagnostic, mostly blood | No tissue present. |
| 9 | LIRADS 5 / Hypodense part | Normal/Non-diagnostic | 0.6 ± 0.5 | Non-diagnostic, mostly blood | No tissue present. |
| 10 | Right lateral lobe posterior | Normal/Non-diagnostic | 0.5 ± 0.5 | Non-diagnostic, mostly blood | Skeletal muscle and collagen bundles only - no liver present. |
For biopsy 7, the tissue was divided into two parts after cytology touch preparation and interpretation. The mean± SD for each core represents the average of the POC scores for the five independent reviewers.