Open lung biopsy

Alternative Names: Biopsy - open lung

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.

Why is the Test Performed?

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

How is the Test 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.

Preparation 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 will the Test 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.

Open lung biopsy Risks

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.

Normal Results for Open lung biopsy

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:

Related Images

Learn more about Open lung biopsy

Review Date: 11/1/2010
Reviewed 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.
Do not use this information for medical emergencies - Call 911. This information should not be used for the diagnosis or treatment of any medical condition. A licensed medical practitioner should always be consulted for diagnosis and treatment of any and all medical conditions. Links to other websites do not constitute endorsements and are provided for information only. Any duplication or distribution of this information is strictly prohibited.
Copyright 2012 A.D.A.M., Inc.
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