Primary Liver Cancer, Ultrasound and CT scan Aspects

1.1.Introduction:Primary malignant tumors have an important place in the liver disease in Burkina Faso. Objectives: To describe aspects in ultrasound and CT scan of primary liver cancer at Ouagadougou. 1.2.Materials and Methods:Retrospective study conducted on 7 years in 4 referral health centers in Ouagadougou. Patients witch present liver cancer with radio-biological and / or histological evidence was included. 1.3.Results:We collected 233 primary malignant liver tumors. The average age was 46 years. Male dominance was marked with a sex ratio of 3.9. The alpha-fetal protein level was greater than 400 IU / l in 75.7% of cases and HBs Ag was positive in 80.4% of cases. Abdominal ultrasound had found multiple nodules in 65.5% of cases with an average size of 107.3 mm and a portal invasion in 34.7% of cases. Enhancement of lesions in the liver CT scanner was highly suggestive in 77% of cases. Histological confirmation was made in 44 cases (18.8%) in liver biopsies. There were 42 cases of hepatocellular carcinoma (95.5%). Conclusion:The primary liver cancers are common in our context and diagnosed at a late stage. Viral hepatitis B often seems concerned. Awareness is essential to improve the prevention and access to surgery.