A needle biopsy of the lung or pleura is done to remove a sample of lung or pleural tissue, or fluid. Pleura is the lining of the lungs and chest wall. Once the tissue is removed, it will be examined in a lab.
Female Torso with Respiratory System and Ribcage (Anterior View)
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Complications are rare, but no procedure is completely free of risk. If you are planning to have a needle biopsy, your doctor will review a list of possible complications, which may include: Collapsed lungBleedingInfectionDamage to the liver or spleen
Factors that may increase the risk of complications include: SmokingObesity
Make sure to tell your doctor if you are pregnant.
Your doctor may order: A complete physical examBlood tests
Images of the chest and lungs maybe taken with
Leading up to your procedure, do not start taking any new medicines without consulting your doctor.
You may be given pre-procedure medicines for certain conditions (eg, to suppress a cough).
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like: Aspirin or other anti-inflammatory drugsBlood thinners, such as clopidogrel or warfarin
You may receive a mild sedative about an hour before the procedure. It will help you relax.You may also have an injection of a local anesthetic. It will numb the area where the needle will be inserted.
Your skin will be cleaned with an antiseptic solution. You will be in a seated position, leaning forward, with your arms resting on a table for support. You should remain as still as possible. An ultrasound or CT scan will be used to locate the exact area.
A small cut will be made in your skin. Then, while you hold your breath, the biopsy needle will be inserted through the cut. The needle will be passed between your ribs until it reaches the lung or pleura. Your doctor then withdraws some cells through the biopsy needle. The needle will be withdrawn. Pressure will be put on the site of the incision. When the bleeding stops, a bandage will be applied.
Before the procedure, when the local anesthetic is injected, you may feel a brief sting.During the procedure, when the needle is inserted, you will probably feel some pressure. If you are having a lung biopsy, you will feel a quick, sharp pain when the needle touches your lung.
You will rest for several hours after the procedure. A nurse will check on you and monitor your recovery.A few hours after the procedure, a chest x-ray or other imaging technique may be done. This is done to make sure a lung has not collapsed and that there is no bleeding.If there are no complications after four hours, you may go home.
When you return home, do the following to help ensure a smooth recovery: Rest at home for a day or two.Avoid strenuous activities for one week.You may remove the bandage after a day or two.Ask your doctor about when it is safe to shower, bathe, or soak in water.Be sure to follow your doctor's
Ask your doctor when to expect the results of the biopsy.
After arriving home, contact your doctor if any of the following occurs: Signs of infection, including fever and chillsRedness, swelling, increasing pain, excessive bleeding, or any discharge from the incision sitePain that you cannot control with the medicines you have been givenCough, shortness of breath, or chest painCoughing up bloodPain when taking a deep breathYou feel your heart rate is fast
In case of an emergency, call for medical help right away.
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Last reviewed February 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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