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Open lung biopsy

Definition

An open lung biopsy is surgery to remove a small piece of tissue from the lung. The sample is then examined for cancer, infection, or lung disease.

Alternative Names

Biopsy - open lung

How the test is performed

An open lung biopsy is done in a hospital operating room under general anesthesia, which means you are asleep and pain-free. A tube will be placed through your mouth and into the airway that leads to the lungs.

After cleaning the skin, the surgeon makes a cut in the chest area and removes a small piece of lung tissue. The wound is closed with stitches.

A chest tube may be left in place for 1 - 2 days to prevent the lung from collapsing.

Today, most centers use a technique called video-assisted thoracoscopy, which uses a camera and tiny instruments to biopsy the lung. With this method, only two small cuts are made. There is much less pain and the recovery is much faster.

How to prepare for the test

You should tell the health care provider if you are pregnant, allergic to any medications, and if you have a bleeding problem. Be sure to tell the health care team which medications you are taking (including any herbal preparations).

You will be asked not to eat or drink for 8 to 12 hours before the procedure.

How the test will feel

When you wake up after the procedure, you will feel drowsy for several hours. You may have a mild sore throat from the tube. You will feel some discomfort and pain at the site of the biopsy.

Why the test is performed

The open lung biopsy is done to evaluate lung problems seen on x-ray or CT scan.

Normal Values

The lungs and lung tissue will be normal.

What abnormal results mean

Abnormal results may be due to:

  • Benign tumors
  • Cancer
  • Certain infections (bacterial, viral, or fungal)
  • Lung diseases (fibrosis)

The procedure may help diagnose a number of different conditions, such as:

What the risks are

There is a possibility of infection or an air leak into the chest. Your risk depends on whether or not you already have lung disease.

Special considerations

References

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    Review Date: 11/1/2010

    Review By: Shabir Bhimji MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2010 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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