Doctor insights on:
What Happens When A Lung Is Punctured During A Biopsy
CT is higher: The risk from a ct guided lung biopsy is approximately 25%. Underlying emphysema would make a collapsed lung more likely. Biopsy of a mass resting against the chest wall would be less likely to cause collapse. I am not sure about the discrepancy between the two answers. I do ct guided lung biopsies all the time, and have the same collapse rates as other docs in my group. ...Read more
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
Possible: The liver is right under the lung separted by the diaphragm. If a lesion is up high in the liver near the edge that runs near the lung it is possible. Using ct and going to a doctor trained in doing biopsies of the liver should reduce the risk of this complication to a minimum. ...Read more
What is the protocol with flying after biopsies? Can you fly 2 days after a lung biopsy, if you don't punctur the lung and all is well after procedure
Sure: If there have been no complications from the biopsy it's safe to fly. ...Read more
How long does a kid stay typically inpatient after a lung biopsy during bronchoscopy for a trached 7yo? (crappy breathing, otherwise "ok")
Variable: A bronchoscopy with or without biopsy is fairly straightforward. The general description you've provided suggests a child that at baseline is chronically ill. Chances are the length of stay is more a matter of how long the child needs to recover from anesthesia in relation to baseline breathing challenges. Often this can be over night or it can be several days in a chronically ill child. ...Read more
Just discovered my husband has a tear in the pericardium and that his right atrium poked thru the sac. This was discovered during an open lung biopsy?
Sorry to hear the alarming news. I hope you are coping ok. Pericardial tears are somewhat unusual to find incidentally because the pericardium is a very very strong tissue. Typically we see them as a result of blunt trauma to the chest or abdomen and they are commonly associated with herniation as you described. This requires management by a specialist. Hope this helps. ...Read more
Have 2 low grade tumors in the lungs and kidney with the lungs being primary. Would the next tumor they are going to biopsy be low grade as well?
Lung Tumor: If I understand you correctly, you have a low grade lung tumor that has spread to the kidney, and not two separate tumors. As a general rule, a new metastasis will have the same morphology as the original tumor, but, even so, a metastatic lung tumor, even if it is "low grade, " requires immediate treatment, which may include surgery, chemotherapy and irradiation, depending on the diagnosis. ...Read more
3.3 cm mass on husband's left lung. Not there a year ago, at all. Referred for biopsy. Should we be worried? 59 y/o, long time smoker.
Worry yes: But give up no. If this is an isolated lesion and is bad, he may need to have it removed and maybe other treatment. Thankfully he has a yearly CXR to watch for this very problem. Hopefully the biopsy is soon. All the best to your husband and your family. Some lung lesions are OK. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
Yes: Air can be reabsorbed after biopsy by your blood stream. ...Read more
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. ...Read more
If there is a lesion or more in my lung and its too dangerous for a biopsy because of air pockets surrounding it how will they know if its cancerous?
Biopsy: The specifics of location and anatomy will have an impact. Additionally degree of disease in your lung will impact risk of biopsy. That said, if too risky for radiology guided biopsy, you may be a candidate for inreach/em-navigation bronchoscopy with biopsy. Again, risks greatly depend on your overall health, location of lesion, and conditions of lung/pulmonary status. ...Read more
Generally not: If pneumonia is community acquired, your physician will usually treat you with antibiotics given normal flora present in your community. Biopsy is not required unless the pneumonia does not resolve and there might be cause for concern when considering your medical history. In such cases, a bronchoscopy may be required. This is rare if only a pneumonia is concerned. ...Read more
Sounds like lung Can: Your biopsy shows cancer, likely arising in your lung. You need to see an oncologist who can run more tests to do the staging. This means trying to determine if it is localized to one spot or could it have spread inside the body. The stage will determine the type of appropriate treatment. ...Read more
Local stage 1 surgical removal
stage 2 surgery
stage 3 combinations depending on exact situation.
Stage 4' no surgery other than diagnoštic, then adjuvant arc by oncologists.
Other personal risk factors impact and can prevail with any management.
Poor lung function is one of those! ...Read more
My dad have a tumor in his lungs as big as a fist, and his having a biopsy today. Also diagnosed with tubercolosis. Will he survive?
Yes: Prognosis depends on biopsy, if it is tuberculosis related mass, he will be fine, . In general malignant tumors if not detected in early stage prognosis is guarded. Even if biopsy shows cancer, remarkable progress has been in chemoradtion therapy, wait for report hope you will hear a good news speak ti his doctor with your dad s permission good luck. ...Read more
No symptoms after 6 years since they discover 3 masses my right lower lung, should I be worried? No biopsy. Stop repeating test after 1 year.
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. ...Read more
Yes, but: Calcification of a lung nodule frequently indicates that it is benign in nature. It is the noncalcified nodules that are most concerning for lung cancer. And thus the noncalcified nodules that more frequently meet criteria that prompts biopsy of the nodule. Appropriate treatment of lung nodules is best done at facilities with experience ...Read more
Not if done right: Lungs have very few nerve endings within the lung. If done by a skilled doctor biopsy thru the skin (ie guide by a scanner) can cause pressure and a feeling of fullness but minimal pain. The level of discomfort relates to how accessible the nodule or mass is for the biopsy needle. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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
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