The Preoperative Assessment of Hepatic Tumours : Evaluation of UK Regional Multidisciplinary Team Performance

Joint Authors

Stell, D. A.
Jackson, S. A.
Fox, B. M. T.
Bowles, M. J.
Aroori, S.
Wiggans, M. G.
Armstrong, E. M.
Mitchell, J. D.
Shirley, J. F.

Source

HPB Surgery

Issue

Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2013-08-22

Country of Publication

Egypt

No. of Pages

7

Main Subjects

Medicine

Abstract EN

Introduction.

In the UK, patients where liver resection is contemplated are discussed at hepatobiliary multidisciplinary team (MDT) meetings.

The aim was to assess MDT performance by identification of patients where radiological and pathological diagnoses differed.

Materials and Methods.

A retrospective review of a prospectively maintained database of all cases undergoing liver resection from March 2006 to January 2012 was performed.

The presumed diagnosis as a result of radiological investigation and MDT discussion is recorded at the time of surgery.

Imaging was reviewed by specialist gastrointestinal radiologists, and resultswereagreedonby consensus.

Results.

Four hundred and thirty-eight patients were studied.

There was a significant increase in the use of preoperative imaging modalities (P≤0.01) but no change in the rate of discrepant diagnosis over time.

Forty-two individuals were identified whose final histological diagnosis was different to that following MDT discussion (9.6%).

These included 30% of patients diagnosed preoperatively with hepatocellular carcinoma and 25% with cholangiocarcinoma of a major duct.

Discussion.

MDT assessment of patients preoperatively is accurate in terms of diagnosis.

The highest rate of discrepancies occurred in patients with focal lesions without chronic liver disease or primary cancer, where hepatocellular carcinoma was overdiagnosed and peripheral cholangiocarcinoma underdiagnosed, where particular care should be taken.

Additional care should be taken in these groups and preoperative multimodality imaging considered.

American Psychological Association (APA)

Wiggans, M. G.& Jackson, S. A.& Fox, B. M. T.& Mitchell, J. D.& Aroori, S.& Bowles, M. J.…[et al.]. 2013. The Preoperative Assessment of Hepatic Tumours : Evaluation of UK Regional Multidisciplinary Team Performance. HPB Surgery،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-504201

Modern Language Association (MLA)

Wiggans, M. G.…[et al.]. The Preoperative Assessment of Hepatic Tumours : Evaluation of UK Regional Multidisciplinary Team Performance. HPB Surgery No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-504201

American Medical Association (AMA)

Wiggans, M. G.& Jackson, S. A.& Fox, B. M. T.& Mitchell, J. D.& Aroori, S.& Bowles, M. J.…[et al.]. The Preoperative Assessment of Hepatic Tumours : Evaluation of UK Regional Multidisciplinary Team Performance. HPB Surgery. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-504201

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-504201