Abstract:
AIMS: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. MATERIALS AND METHODS: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. RESULTS: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. CONCLUSION:The present study, which to the authors' knowledge is the first to focus on ultrasound assessment of musculoskeletal masses referred solely from primary care, confirms ultrasound as a highly effective screening tool. It often avoids the need for further investigation and inappropriate clinical referrals. Malignant lesions are very rare in this patient cohort.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Charnock M,Kotnis N,Fernando M,Wilkinson Vdoi
10.1016/j.crad.2018.07.102subject
Has Abstractpub_date
2018-12-01 00:00:00pages
1025-1032issue
12eissn
0009-9260issn
1365-229Xpii
S0009-9260(18)30385-4journal_volume
73pub_type
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