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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 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 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 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?
DefinitionAn open lung biopsy is surgery to remove a small piece of tissue from the lung. The sample is then examined for cancer, infection, or lung disease.Alternative NamesBiopsy - open lungHow the test is performedAn open lung biopsy is done in a hospital operating room under general anesthesia, which means you are asleep and pain-free. A tube will be placed through the mouth and into the airway that leads to the lungs.After cleaning the skin, the surgeon makes a cut in the chest area and removes a small piece of lung tissue. The wound is closed with stitches.A chest tube may be left in place for 1 - 2 days to prevent the lung from collapsing.How to prepare for the testYou should tell the health care provider if you are pregnant, allergic to any medications, and if you have a bleeding problem. Be sure to tell the health care team which medications you are taking (including any herbal preparations).You will be asked not to eat or drink for 8 to 12 hours before the procedure.How the test will feelWhen you wake up after the procedure, you will feel drowsy for several hours. You may have a mild sore throat from the tube. You will feel some discomfort and pain at the site of the biopsy.Why the test is performedThe open lung biopsy is done to evaluate lung problems seen on x-ray or CT scan.Normal ValuesThe lungs and lung tissue will be normal.What abnormal results meanAbnormal results may indicate:BenigntumorsCancerCertain infectionsLung diseasesThe procedure may also help diagnose a number of different conditions.What the risks areThere is a possibility of infection or an air leak into the chest. Your risk depends on whether or not you already have lung disease.
What procedures are involved in needle biopsy?
aspiration biopsy (using a fine needle) and large-core needle biopsy. Either of these may be called a percutaneous needle biopsy. Percutaneous refers to a procedure done through the skin.
