Q: What is the normal procedure in a lung biopsy?

There are 3 different ways to do a lung biopsy. Ct guided uses a needle inserted thru the chest while taking ct scan images. Bronchoscopic involves running a flexible tube into the windpipe. Surgical biopsy involves cuts in the chest, either using a rigid tube (vats), or larger incision for an open biopsy.

Q: What is the general procedure for a lung biopsy?

• Several approaches are used for lung bx to obtain enough tissue for histologic exam. The simplest is the Needle biopsy. With local anesthesia a needle is guided through the chest wall into a suspicious area CT or CAT scan or fluoroscopy. A transbronchial biopsy is performed through a fiberoptic bronchoscope and a Thoracoscopic biopsy is used with general anesthesia and also allows bx.

Question 1

Which type of lung biopsy will i need for 8 mm slightly lobulated nodule seen 4 months ago in ct scan , also ve 2mm granuloma too and bronchiectasis?

Accepted Answer

Location, a bit small, for needle
open video assisted may work well, if superficial .
Also, how long has it been present? Any growth?
 Pet scan?

Question 2

What should i know about a needle lung biopsy? my doctor wants to do a needle biopsy of my lung as an outpatient. what are the risks of this procedure?

Accepted Answer

A needle biopsy of the lung is very useful in diagnosing many pathological pulmonary conditions. However, like any other procedure it is associated with some risks.

The type of procedure you are referring to is a called a ct-guided percutaneous needle biopsy. This procedure involves inserting a needle through the skin and chest wall to the area of the lung where the biopsy is to be taken, all under the accurate direction of a ct scan (a type of x-ray). The main risk of this procedure is developing a collapsed lung.  The doctor doing the procedure will check for this complication after the procedure is completed. Most cases of a pneumothorax are easily manageable and simply just need to be observed until the body heals itself, however, a minority will require another procedure (and rarely surgery) to fix it. Other extremely rare risks include bleeding and the introduction of infection into the lung (pneumonia or empyema). These are extremely rare complications as precautions are always made to prevent these, e.g. Using sterile technique and also testing blood prior to the procedure to check that you do not have a predisposition to excessive bleeding.

Question 3

They found a spot or scar on my left lung. after 6 months they want to do a ct guided needle biopsy. what is this?

Accepted Answer

When a spot is close enough to the chest wall, interventional radiologists are able to use ct scan pictures to guide a small needle into a spot. Normally, when a spot is found, we follow it with ct scans. It it looks like it's getting bigger, we plan for a ct guided biopsy to find out what it is. When the spot is away from the chest wall we consider bronchoscopy vs surgical removal.

Question 4

I have ra, i had a mass on my chest, so they did ct-guided needle biopsy where the thymus is! doc has told me its not sarcoid, but could be lymphoma?

Accepted Answer

Yes, lymphoma is a possibility.  There is also relationship between autoimmune disorder like rheumatoid arthritis and certain type of lymphoma. However, i recommend you to wait until you have the result of the biopsy then you can discuss further in detail about what to do.

Question 5

Can you tell on a ct scan if it is lung cancer or something else? what reasons wouldn't a dr do a needle biopsy?

Accepted Answer

Sticking a needle in anything is always risky. Your doctor will have to decide if the lesion on the cat scan looks suspicious enough to warrant that risk. Oftentimes we will recheck another cat scan in about six months to see if there has been an interval change. I would trust your doctors judgment on this.

Question 6

Is a lung biopsy done while you are awake?

Accepted Answer

That depends on the type of biopsy. A percutaneous biopsy done by an interventional radiologist under fluoroscopy or ct guidance is usually done with local anesthesia. The patient has to be awake to cooperate with breath-holding when needed. Sometimes a mild sedative is given.

Question 7

What to do if i am having an open lung biopsy n the 26th?

Accepted Answer

A lung biopsy if most often performed for a well defined lesion.  At your age the chance of malignancy is slight.  Biopsy if necessary can be done transbronchial and if more needed, a thorascopic biopsy without opening the chest can be performed.

Question 8

What are the risks of lung biopsy surgery .?  i have mass 5 cm in left lung and it's not cancer and so confused about the surgery ..

Accepted Answer

Any 5 cm mass in the lung should be removed, as there is risk that it could have cancerous elements even if the biopsy was negative.  If you are otherwise healthy, a surgical biopsy carries low risk of major complication (<1%).  With that said, pain, recovery time, and complication rates can be affected by the approach the surgeon takes.  A minimally invasive (vats) approach has advantages

Question 9

What is the normal procedure in a lung biopsy?

Accepted Answer

There are 3 different ways to do a lung biopsy. Ct guided uses a needle inserted thru the chest while taking ct scan images. Bronchoscopic involves running a flexible tube into the windpipe. Surgical biopsy involves cuts in the chest, either using a rigid tube (vats), or larger incision for an open biopsy.

Question 10

What is the general procedure for a lung biopsy?

Accepted Answer

•	Several approaches are used for lung bx to obtain enough tissue for histologic exam. The simplest is the Needle biopsy. With local anesthesia a needle is guided through the chest wall into a suspicious area CT or CAT scan or fluoroscopy.  A transbronchial biopsy  is performed through a fiberoptic bronchoscope and a Thoracoscopic biopsy  is used with general anesthesia  and also allows bx.

Cpt code for ct needle guided lung biopsy

Which type of lung biopsy will i need for 8 mm slightly lobulated nodule seen 4 months ago in ct scan , also ve 2mm granuloma too and bronchiectasis?

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What should i know about a needle lung biopsy? my doctor wants to do a needle biopsy of my lung as an outpatient. what are the risks of this procedure?

They found a spot or scar on my left lung. after 6 months they want to do a ct guided needle biopsy. what is this?

I have ra, i had a mass on my chest, so they did ct-guided needle biopsy where the thymus is! doc has told me its not sarcoid, but could be lymphoma?

Can you tell on a ct scan if it is lung cancer or something else? what reasons wouldn't a dr do a needle biopsy?

Is a lung biopsy done while you are awake?

What to do if i am having an open lung biopsy n the 26th?

What are the risks of lung biopsy surgery .? i have mass 5 cm in left lung and it's not cancer and so confused about the surgery ..

What is the normal procedure in a lung biopsy?

What is the general procedure for a lung biopsy?

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