LAB TEST

Lung needle biopsy

A lung needle biopsy is a method to remove a piece of lung tissue for examination. If it is done through the wall of your chest, it is called a transthoracic lung biopsy.

How the Test is Performed

The procedure usually takes 30 to 60 minutes. The biopsy is done in the following way: A chest x-ray or chest CT scan may be used to find the exact spot for the biopsy. If the biopsy is done using a CT scan, you may be lying down during the exam. You may be given a sedative to relax you. You sit with your arms resting…

How to Prepare for the Test

You should not eat for 6 to 12 hours before the test. Follow instructions about not taking nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, or blood thinners such as warfarin for a period of time before the procedure. Check with your health care provider before changing or stopping any…

How the Test will Feel

You will receive an injection of anesthetic before the biopsy. This injection will sting for a moment. You will feel pressure and a brief, sharp pain when the biopsy needle touches the lung.

Why the Test is Performed

A lung needle biopsy is done when there is an abnormal condition near the surface of the lung, in the lung itself, or on the chest wall. Most often, it is done to check for cancer. The biopsy is usually done after abnormalities appear on a chest x-ray or CT scan. Sometimes your doctor might recommend a bronchoscopy…

Normal Results

In a normal test, the tissues are normal and there is no cancer or growth of bacteria, viruses, or fungi if a culture is performed.

What Abnormal Results Mean

An abnormal result may be due to any of the following: Bacterial, viral, or fungal lung infection Cancerous cells ( lung cancer , mesothelioma ) Pneumonia Benign growth

Risks

Sometimes, a collapsed lung ( pneumothorax ) occurs after this test. A chest x-ray will be done to check for this. The risk is higher if you have certain lung diseases such as emphysema . Usually, a collapsed lung after a biopsy does not need treatment. But if the pneumothorax is large, there is preexisting lung…

Considerations

Signs of a collapsed lung include: Blueness of the skin Chest pain Rapid heart rate (rapid pulse) Shortness of breath If any of these occur, call your provider right away.

References

Given MF, Clements W, Thomson KR, Lyon SM. Percutaneous biopsy and drainage of the lung, mediastinum, and pleura. In: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, eds. Image-Guided Interventions . 3rd ed. Philadelphia, PA: Elsevier; 2021:chap 103. Walsh R, Klein JS. Thoracic radiology: invasive diagnostic…

This is a summary. Read the full article at www.ucsfbenioffchildrens.org (reviewed 31/07/2022).

This page is general information and is not medical advice. It does not replace a registered doctor, and it is not a prescription or a recommendation to use any medicine or test. Prices are listed prices and may change. Always follow the advice of your doctor or pharmacist.