Background: Introduction of Guided fine needle aspiration allowed accurate positioning of the needle when lesion were small or deep. Aim: The present study was undertaken to know the pathological spectrum of hepatic mass lesions and to correlate the cytoradiological findings. Methods and Materials: This study was performed on admitted and OPD patients of SNMC, Bagalkot over a period of six months. Image guided fine needle aspiration cytology was carried out and aspirates were examined, and compared with radiological diagnoses. Results: The present study included 51 cases of hepatic lesion masses. Presenting age ranged from 23 to 84 years with most common predisposition in the seventh decade of life. Males were more commonly affected than females. Metastatic tumours were more common than hepatocellular carcinoma. The most common metastatic hepatic lesion was Adenocarcinoma followed by squamous cell carcinoma, urothelial carcinoma and lymphoma. Multiple SOL was more common radiologically for both primary malignancy and metastatic lesions. Cytoradiological correlation was found to be 95.91%. Conclusion: The study concludes that fine needle aspiration cytology of the hepatic lesion is an effective and safe method for a quick, early and accurate diagnosis without any serious complications related to the procedure.

Keywords: Guided FNAC; Liver; HCC; Metastasis.