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Abstract


CT-guided Transthoracic needle aspiration biopsy(TNAB) of chest lesion had been increasingly accepted as a major part of the diagnostic workup for malignancy. The authors evaluated the usefulness of the CT-guided TNAB of chest lesions of its
diagnostic
accuracy and compliciation. Our series consisted of 96 patients and 104 TNAB cases biopsied at KangNam St. Mary's Hosp. Form Jan. 1988 to Dec. 1991. A diagnosis was made in 50 of 65 malignant lesions(76.9%), and in 19 of 24 benign lesions(79.1%).
Complications included pneumothorax(25.0%), hemoptysis(2.8%), pain(5.8%), fever(1.0%). The high frequency of pneumothorax in sinall lesions(less than 2 cm-50%) was noted. In conclusion, TNAB is relatively safe, simple procedure that has time-and
cost-saving benefit, and has a significant diagnostic potential.

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