Lung biopsy
Lung biopsy is a medical procedure that involves taking a small sample of lung tissue for examination under a microscope. It is often performed to determine the cause of abnormalities, such as nodules or masses, seen on a chest X-ray or other imaging tests.
Indications
Lung biopsy is typically performed when an abnormal condition is detected in the lungs, such as pneumonia, tuberculosis, lung cancer, or sarcoidosis. It can also be used to diagnose and monitor the progress of lung diseases such as pulmonary fibrosis and interstitial lung disease.
Types
There are several types of lung biopsies, including:
- Bronchoscopic biopsy: This is performed during a bronchoscopy, where a flexible tube with a light and camera at the end is inserted through the mouth or nose into the lungs.
- CT-guided biopsy: This is performed with the help of a computed tomography (CT) scan, which guides the needle to the correct location in the lung.
- Open biopsy: This is performed in an operating room under general anesthesia, where a surgeon makes an incision in the chest to remove a larger piece of lung tissue.
- Transbronchial biopsy: This is performed during a bronchoscopy, where a small piece of lung tissue is removed with a special biopsy tool.
Procedure
The procedure for a lung biopsy can vary depending on the type of biopsy being performed. However, in general, the patient is positioned on a table and local anesthesia is applied to numb the area where the needle will be inserted. The doctor then uses imaging guidance to insert the needle into the lung tissue and remove a small sample for testing.
Risks
Like any medical procedure, a lung biopsy carries some risks. These may include pneumothorax (collapsed lung), bleeding, infection, and reaction to anesthesia. The risk of complications increases if the patient has other health conditions, such as heart or lung disease.
See also
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Contributors: Prab R. Tumpati, MD