Biopsy of the lung and pleura with a needle

Description lung and pleura biopsy with a needle

Biopsy of lung or pleura is done, to select a sample for the study of lung, pleural fluid or tissue of the lung. Plevra – gasket between the lungs and chest wall. After removal of the tissue is sent to a lab for analysis.

The reasons for performing a biopsy of lung and pleura

This procedure is used to diagnose the presence of abnormal tissue in or around the pulmonary. Potential causes of abnormal tissue:

• Benign tumors;
• Cancer;
• Scarring of lung tissue;
• Pneumonia;
• Certain infections (eg, tuberculosis or histoplasmosis);
• Abnormalities of the blood vessels in the lungs;
• The consequences of certain systemic diseases (rheumatoid arthritis, sarkoidoz, granulematoz Wegener).

Possible complications when performing a biopsy of lung and pleura

Complications are rare, but no procedure does not guarantee the absence of risk. Before, how to perform a biopsy of the lung and pleura need to know about possible complications, which may include:

• Collapsed lung;
• Bleeding;
• Infection;
• Damage to the liver or spleen.

Factors, that may increase the risk of complications:

• Smoking.

In the presence of pregnancy should inform your doctor.

How to biopsy the lung and pleura?

Preparation for the procedure

The doctor may order the following tests:

• Complete physical examination;
• Roentgen – test, which uses radiation emissions, to take a picture of structures in the body;
• CT scan – type of X-ray, that uses a computer to make pictures of internal organs;
• Ultrasound – test uses sound waves, to take photographs inside of the body;
• Blood tests.

Before the procedure, you can not change your medication without consulting your doctor.

Maybe, before performing the biopsy will need to take drugs to suppress cough.

Sometimes it's necessary to stop taking certain medications one week before the procedure,:

• Aspirin or other anti-inflammatory drugs;
• Blood thinners, eg, clopidogrel (Plaviks) or warfarin (Kumadin).

Anesthesia

• About an hour before the procedure is necessary to take a sedative. This will help the body to relax;
• It may also be administered local anesthetic injection, that numb the area, which will be administered the needle.

Procedure biopsy the lung and pleura

The skin will be cleaned using an antiseptic solution. The patient is in a sitting position, leaning forward, hands drawing table. An ultrasound or CT scan will be used, to find the exact location for the needle biopsy.

On the skin, a small incision is made. Then you need to hold your breath. Needle biopsy is inserted through an incision, held between the ribs, until it reaches the lungs or pleural. The doctor selects the cells through a needle biopsy, and then takes it. Place the cut is pressed to stop the bleeding, after which it bandage.

How long will the biopsy of the lung and pleura?

The procedure lasts about 30-60 minutes.

Will it hurt during the biopsy of lung and pleura?

During the administration of the anesthetic may light burning sensation.

During the procedure,, when the needle is inserted possibly feeling a little pressure. If the biopsy of lung, the patient will feel a sharp pain, As for the light when the needle.

Posleprotsedurny care after the biopsy of lung and pleura

In the hospital

• Within a few hours after the procedure must be stored in the hospital. The nurse will check the health and monitor the recovery;
• A few hours after the biopsy can be performed chest X-ray or other procedure to render the condition of the lungs. This is accomplished, To make sure, no bleeding in the lungs and other complications;
• If there are no complications after four hours after the biopsy, the patient can go home.

Nursing homes

When you return home, you need to perform the following actions, to ensure the normal recovery:

• Within a day or two after the procedure need to rest;
• It is necessary to avoid stress for one week after the biopsy;
• You can remove the bandage after a day or two after returning home;
• We need to ask the doctor about, when it is safe to shower, bathe or expose the surgical site to water;
• Be sure to follow your doctor's instructions.

We need to ask the doctor, when to expect the results of the biopsy.

It is necessary to go to the hospital in the following cases

• There are signs of infection, including fever and chills;
• Redness, edema, increased pain, bleeding or discharge from the incision and injection site;
• Inability to relieve pain using painkillers;
• Cough, shortness of breath or chest pain;
• Coughing up blood;
• Pain with a deep breath;
• Too rapid pulse.