The Importance of Computed Tomography Guided Transthorasic Aspiration Biopsy/Cell Block Method in Early Diagnosis and Treatment of Lung Lesions: Cytopathologic Analysis in 354 Cases

Year 2019, , 513 - 521, 16.09.2019

Arzu Tasdemir , Mithat Fazlıoğlu

https://doi.org/10.31832/smj.484229

Abstract

Objective: The aim of this study was to
evaluated the effectiveness of  computed
tomography(CT) guided transthorasic fine needle aspiration biopsy in the
diagnosis of lung mass lesions.

Material and Method: In this study, we are presenting
354 CT guided TTFNAB materials. The 348 of aspirations were performed from lung
directly and 6 of them were performed from masses with mediastinal location.
After the lesion was localized by CT, aspiration biopsy was performed by
thoracic surgeon with 20-22 gauge Chiba needle by using 20 ml.

Results: Among the 220 patients who
underwent TTFNAB (354 aspiration biopsy), 163(46.04%)  were diagnosed as tumor, 74(20.90%)  as suspicious lesion, 71(20.05)  as benign lesion and 46(12.99%)  as aspirate nondiagnostic. 140(39.54%)
aspirata cell blocks were applied to 134 cases. Immunohistochemical and
histochemical studies were performed in these cases and type differentiation
could be made in tumor.

Conclusion: TTFNAB-CB in expert hands and
experienced pathologists is fairly accurate for lung masses  and can be regarded as an acceptable
procedure for early  diagnose  and treatment 
planning  purposes in most lung
lesions.

Keywords

lung; computed tomography

References

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