@article{article_484229, title={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}, journal={Sakarya Tıp Dergisi}, volume={9}, pages={513–521}, year={2019}, DOI={10.31832/smj.484229}, author={Tasdemir, Arzu and Fazlıoğlu, Mithat}, keywords={lung; computed tomography}, abstract={<p class="Textbody" style="line-height:200%;"> <b> <span style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;">Objective: </span> </b> <span style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;"> 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. </span> </p> <p> </p> <p class="Textbody" style="line-height:200%;"> <b> <span style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;">Material and Method: </span> </b> <span style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;"> 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. </span> </p> <p> </p> <p class="Textbody" style="line-height:200%;"> <b> <span style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;">Results </span> </b> <span style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;">: 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. </span> </p> <p> </p> <p class="Textbody" style="line-height:200%;"> <b> <span style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;">Conclusion: </span> </b> <span style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;"> 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. </span> </p> <p> </p> <p class="Textbody" style="line-height:200%;"> </p> <br />}, number={3}, publisher={Sakarya Üniversitesi}