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What alternatives to lung biopsy may be warranted?
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What risks are associated with the open biopsy method of lung biopsy?
Possible complications of an open biopsy include infection or pneumothorax. If the patient has very severe breathing problems before the biopsy, breathing may be further impaired following the operation.
What are abnormal results of a lung biopsy?
Nodules in the lungs may be due to active infections such as tuberculosis, or may be scars from a previous infection. The lung cells on microscopic examination do not resemble normal cells,
Why a lung biopsy is needed?
Bronchoscopy, which is a type of lung biopsy performed with a long slender instrument called a bronchoscope, can be used to clear a patient's air passages of secretions and to remove blockages
What are the complications of aNeedle biopsy of the lung?
If the lung collapses, a tube will have to be inserted into the chest to remove the air. Some coughing up of blood occurs in 5% of needle biopsies. Prolonged bleeding or infection may also occur,
What alternatives are there to a liver biopsy?
In some instances, blood tests may provide enough information to health care providers to make an accurate diagnosis
What are possible complications of an open biopsy?
infection or lung collapse. Death occurs in about 1 in 3000 cases. If the patient has very severe breathing problems before the biopsy, breathing may be slightly impaired following the operation
What preparation for a lung biopsy does a patient undergo?
Blood tests may be performed before the procedure to check for clotting problems and blood type, in case a transfusion becomes necessary.
What secondary biopsy may be performed on a patient with lymphoma?
The doctor may perform a bone marrow biopsy.
Lung needle biopsy?
DefinitionA lung needle biopsy is a method to remove a piece of lung tissue for examination.Alternative NamesTransthoracic needle aspiration; Percutaneous needle aspirationHow the test is performedA chest x-ray or chest CT scan may be used to find the exact spot for the biopsy. If the biopsy is done using a CT scan, you may be lying down during the exam.A needle biopsy of the lung may also be performed during bronchoscopy or mediastinoscopy.You sit with your arms resting forward on a table. You should try to keep still and not cough during the biopsy. The doctor will ask you to hold your breath. The skin is scrubbed and a local pain-killing medicine (anesthetic) is injected.The physician will make a small (about 1/8-inch) cut in the skin, and will insert the biopsy needle into the abnormal tissue, tumor, or lung tissue. A small piece of tissue is removed with the needle and sent to a laboratory for examination.When the biopsy is done, pressure is placed over the site. Once bleeding has stopped, a bandage is applied.A chest x-ray is taken immediately after the biopsy.The procedure usually takes 30 - 60 minutes. Laboratory analysis usually takes a few days.How to prepare for the testYou should not eat for 6 - 12 hours before the test. Your health care provider may tell you to avoid aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, or blood thinners such as warfarin for a period of time before the procedure. Always check with your health care provider before changing or stopping any medications.Before a needle biopsy of the lung, a chest x-ray or chest CT scan may be performed. Sometimes, you will be given a mild sedative before the biopsy to relax you. You must sign a consent form. It is important to remain as still as possible for the biopsy and avoid coughing.How the test will feelYou will receive an injection of anesthetic before the biopsy. This injection will sting for a moment. You will feel pressure and a brief, sharp pain when the needle touches the lung.Why the test is performedA needle lung biopsy is performed when there is an abnormal condition near the surface of the lung, in the lung itself, or on the chest wall.The test is usually done to diagnose large abnormalities seen on chest x-ray or CT scan. Most often, the abnormality cannot be seen by other diagnostic techniques, such as bronchoscopy.Normal ValuesIn a normal test, the tissues are normal and there is no growth of bacteria, viruses, or fungi if a culture is performed.What abnormal results meanBacterial, viral, or fungal lung infectionCancerous cells (lung cancer, mesothelioma)Immune disorderPneumoniaThe test may also be performed for:Metastatic cancer to the lungPneumonia with lung abscessWhat the risks areIn a very small percentage of needle biopsies, a collapsed lung or pneumothorax occurs. Usually, chest x-rays will be done. However, if the pneumothorax is large, a chest tube may need to be inserted to expand (decompress) the lung.In rare cases, pneumothorax can be life threatening if air escapes from the lung, gets trapped in the chest, and presses on (compresses) the lungs and heart.Whenever a biopsy is done, there is a risk of excess bleeding (hemorrhage). Some bleeding is common, and a health care provider will monitor the amount of bleeding. Rarely, major and life-threatening bleeding may occur.A needle biopsy should NOT be performed if other tests show that you have:Blood coagulation disorder of any typeBullae (enlarged alveoli that occur with emphysema)Cor pulmonaleCystsPulmonary hypertensionSevere hypoxiaSpecial considerationsSigns of a collapsed lung include:Blueness of the skinRapid heart rate (rapid pulse)Shortness of breathIf any of these occur, report them to your health care provider immediately.
What is the treatment for a lung collapse after a needle biopsy?
I am not a doctor, and the treatment probably varies depending on your doctor. Today I received a lung needle biopsy (through my back, not chest). The radiologist told me before the operation that I would have roughly a 1 in 4 chance of a lung collapse. If your lung collapses, that means that air leaks out of your lung and into your chest area. He also told me that if my lung did collapse, that there was only a 1 in 4 chance that they would have to treat it. Sometimes it will just adjust itself slowly as you breathe. My lung did not collapse. If they would have treated it, then they would have inserted a tube to vacuum out some air from the lung. I don't know how this would fix it, but it is the procedure my doctor told me they would use. I'm 15 and the reason for the biopsy is that I had coughed up blood a couple times at my house. At the walk-in, they found a mass in the upper lobe of my right lung. They completely put me "under" for the operation (this may have to do with my age). The operation was this morning and I now feel fine. Breathing is normal, but I am fairly sore. I was told to not move around too much or do heavy lifting for a couple of days.
Open lung biopsy?
An open lung biopsy is a surgical procedure where a small piece of lung tissue is removed for examination under a microscope. It is usually done to diagnose conditions like lung cancer, infections, or interstitial lung diseases that cannot be diagnosed through less invasive methods like imaging or bronchoscopy. The procedure is performed under general anesthesia and requires a hospital stay for recovery.
Pleural needle biopsy?
DefinitionA pleural biopsy is a procedure to remove a sample of the tissue lining the lungs and the inside of the chest wall to check for disease or infection.Alternative NamesClosed pleural biopsy; Needle biopsy of the pleuraHow the test is performedThis test does not have to be done in the hospital. It may be done at a clinic or doctor's office.You will be sitting up for the biopsy. The health care provider will cleanse the skin at the biopsy site, and inject a local numbing drug (anesthetic) through the skin and into the lining of the lungs and chest wall (pleural membrane).A larger, hollow needle is then placed through the skin and into the chest cavity. The doctor rotates the needle. At various times during the procedure, you will be asked to sing, hum, or say "eee." This helps prevent air from getting into the chest cavity, which can cause a lung collapse (pneumothorax).The doctor removes the needle to collect tissue samples. Usually, 3 biopsy samples are taken. When the test is completed, a bandage is placed over the biopsy site.How to prepare for the testYou will have blood tests before the biopsy, and you may have a chest x-ray taken. You must sign consent forms.How the test will feelWith the injection of the local anesthetic, you may feel a brief prick and a burning sensation. When the biopsy needle is inserted, you may feel pressure. As the needle is being removed, you may feel a tugging sensation.Why the test is performedPleural biopsy is usually done to determine the cause of a collection of fluid around the lung (persistent pleural effusion) or other abnormality of the pleural membrane. Pleural biopsy can diagnose tuberculosis, cancer, and other diseases.Normal ValuesThe pleural tissues appear normal, without signs of inflammation, infection, or cancer.Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.What abnormal results meanAbnormal results may reveal cancer, tuberculosis, a viral disease, a fungal disease, a parasitic disease, or collagen vascular disease.Other conditions under which the test may be done include:Malignant mesotheliomaMetastatic pleural tumorPrimary lung cancerWhat the risks areThere is a slight chance of the needle puncturing the wall of the lung, which can partially collapse the lung. This usually gets better on its own. There is a chance of excessive blood loss.Special considerationsIf a closed pleural biopsy is not enough to make a diagnosis, you may need a surgical biopsy of the pleura.ReferencesBroaddus VC, Light RW. Pleural Effusion. In: Mason RJ, Murray J, Broaddus VC, Nadel JA. Textbook of Respiratory Medicine. 4th ed. Philadelphia, Pa: WB Saunders; 2005: chap 68.Ernst A, Silvestri GA, Johnstone D. Interventional Pulmonary Procedures: Guidelines from the American College of Chest Physicians. Chest. May 2003: Vol. 123; pp. 1693-1717.
