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Doctor insights on: Lung Biopsy

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Dr. William Nyman
64 doctors shared insights

Lung Biopsy (Overview)

Lung biopsy is a procedure to obtain a piece of lung tissue for analysis. This can potentially be done in several ways. 1. Radiologist can perform a needle biopsy (trans-thoracic) 2. Surgeon or pulmonologist can perform biopsy during bronchoscopy (trans-bronchial biopsy) 3. Thoracic surgeon can perform a surgical biopsy. If surgical biopsy is performed, generally standard to use vats technique.


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Is a lung biopsy done while you are awake?

Is a lung biopsy done while you are awake?

Depends: 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.

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Dr. William Nyman
64 doctors shared insights

Lung Biopsy (Overview)

Lung biopsy is a procedure to obtain a piece of lung tissue for analysis. This can potentially be done in several ways. 1. Radiologist can perform a needle biopsy (trans-thoracic) 2. Surgeon or pulmonologist can perform biopsy during bronchoscopy (trans-bronchial biopsy) 3. Thoracic surgeon can perform a surgical biopsy. If surgical biopsy is performed, generally standard to use vats technique.


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Treating a Collapsed Lung (Checklist)

Go to the ER for x-rays and initial treatment
Once
Use high flow oxygen
Once
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What is the normal procedure in a lung biopsy?

What is the normal procedure in a lung biopsy?

Procedure specific: 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.

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What is the general procedure for a lung biopsy?

What is the general procedure for a lung biopsy?

Several types: • 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.

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Treating a Lung Nodule (Checklist)

Recognize that most nodules are benign scars, not malignant
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Remember to obtain any previous images possibly showing nodule
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Research whether it's best to follow the nodule or to biopsy it
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What is the definition or description of: lung biopsy?

What is the definition or description of: lung biopsy?

Tissue: Lung biopsy is a procedure to obtain a piece of lung tissue for analysis. This can potentially be done in several ways. 1. Radiologist can perform a needle biopsy (trans-thoracic) 2. Surgeon or pulmonologist can perform biopsy during bronchoscopy (trans-bronchial biopsy) 3. Thoracic surgeon can perform a surgical biopsy. If surgical biopsy is performed, generally standard to use vats technique.

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How much pain is normal after a lung biopsy? I had a biopsy more than a week ago, and i’m still having pain. Is this normal?

How much pain is normal after a lung biopsy? I had a biopsy more than a week ago, and i’m still having pain. Is this normal?

Variable: Generally, yes. The recovery greatly depends on the technique/s used. Vats? Thorocotomy? What is your body shape, i.e. How much space between your ribs? Often, deep breathing spirometer and stretching exercise under surgeon guidance helps. Your thoracic surgeon would be better able to discuss reasonable recovery expectations and what sort of activities may help or should be avoided.

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Can bronchoscopy use to get sample for lung biopsy?

Can bronchoscopy use to get sample for lung biopsy?

Yes: Your thoracic surgeon can perform a trans-bronchial biopsy with fluoroscopic guidance or ultra-sound guidance (ebus), or inreach/ilogic/superdimension/electromagnetic navigation to target and biopsy specific lung lesions. All these techniques are done with bronchoscopy.

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

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

Various approaches: 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.

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Dad's lung biopsy came back benign. He's having a 2nd biopsy done going in through his back. What are the chances this one will be benign too?

Dad's lung biopsy came back benign.  He's having a 2nd biopsy done going in through his back. What are the chances this one will  be benign too?

Hard to tell: It would be impossible to tell from the above information. The question they should ask when a biopsy comes back negative is whether the lesion in question was actually sampled or did they sample normal tissue beside the lesion in question.

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Why does open lung biopsy have a high mortality rate?

It does not really: The biopsy itself is not the problem -- but the underlying disease. If it has compromised the ability of the lung to function, then opening the lung and chest for a biopsy is risky.

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Open lung biopsy with a camera -how dangerous is this?

Open lung biopsy with a camera -how dangerous is this?

Safe: Small risk of bleeding and pneumothorax. May have a small chest tube after. Obtains large amount of tissue for diagnosis and can remove the lesion.

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Open lung biopsy scheduled and I didn't really catch what is involved?

Open lung biopsy scheduled and I didn't really catch what is involved?

Discuss: In general, agree with dr. Arenberg's answer/description of procedure. But, the specifics for you depend on why you are having a biopsy. If it is for an isolated area, it may be a single piece of lung tissue. Biopsy for generalized lung disease diagnosis may require between 3-4 pieces of lung tissue being excised. Well trained thoracic surgeon will perform over 85% of lung biopsies by vats.

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Regarding open lung biopsy with a camera -how dangerous is this procedure?

Regarding open lung biopsy with a camera -how dangerous is this procedure?

Risks exist: While done often by experienced thoracic surgeons (vats), it is chest surgery (major surgery). There are risks and benefits. This link may help: http://goo.Gl/pn73i.

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I had a lung biopsy and found to have Pulminary langerhans cell hysicytosis, this was 2008, my PFT showed lung capacity at 20 % how long do i have?

I had a lung biopsy  and found to have Pulminary langerhans cell  hysicytosis, this was 2008, my PFT showed lung capacity at 20 %  how long  do i have?

See pulmonologist: I'd doubt that you are still living with a total lung capacity of 20% predicted. You need to clarify this issue with your chest doctor since what you told us does not seem real

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How long do I need to stay in the hospital after a lung biopsy? I have one scheduled for next week and i need to know how much time to take off work?

How long do I need to stay in the hospital after a lung biopsy? I have one scheduled for next week and i need to know how much time to take off work?

It all depends: There are 3 ways to get a biopsy - Image guided, bronchoscopy and open lung. Typically with no complications, you could go back to work the following day with an image guided biopsy and a bronchoscopic biopsy. An open lung biopsy usually requires a hospital stay of a few days.

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Do you get a collapsed lung after a lung biopsy?

Do you get a collapsed lung after a lung biopsy?

You may: A small percentage of patients will get a pneumothorax ( air around the lung) during a lung biopsy. Of these only a small percent would need any treatment for it ( a chest tube or small thoracic vent) to remove the air and allow the lung to re expand. The risk depends on the location of the lesion and underlying condition of the lungs. In most patients it is a relatively safe procedure.

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Lung (Definition)

Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more


Dr. Dariush Saghafi
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more