title: [Prospective comparison between a clinical and biological score and ultrasonography for the diagnosis of benign or malignant hepatic lesions].
abstract: The purpose of this study was to compare ultrasound with a clinical and biological score to differentiate benign and malignant liver lesions. The study was carried out prospectively in 100 consecutive patients with liver masses of unknown origin. The accuracy of ultrasound and the score was 84% and 76%, respectively (P = 0.02). Ultrasound and the score gave the same results for the diagnosis of hepatic lesions in 68% of cases. When both ultrasound and the score were in agreement, the prediction of malignancy was 94% ant that of benignity was 100% accurate. Although ultrasound was superior to the score in this series, it is interesting to calculate the score because of the higher predictive values when both methods are associated.
authors.affiliation: Service de Radiologie, Hôpital Beaujon, Clichy.
authors.forename: V
authors.initials: V
authors.lastname: Vilgrain
authors.forename: G
authors.initials: G
authors.lastname: Babany
authors.forename: A
authors.initials: A
authors.lastname: Ghrissi
authors.forename: H
authors.initials: H
authors.lastname: Nahum
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000000981:diagnostic imaging* / Q000473:pathology; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006391:Hemangioma / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000556:secondary; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014463:Ultrasonography
vernacular_title: Comparaison prospective d'un score clinique et biologique et de l'échographie pour le diagnostic de bénignité ou de malignité des masses hépatiques.