Our Summary

This research paper is about a minimally invasive procedure called a percutaneous core needle biopsy used to get tissue samples to diagnose lung cancer. The researchers wanted to find out how often this procedure, which uses ultrasound guidance, is being used in a specific hospital department. They used a certain type of sampling method and found that among 188 lung biopsies, 28 of them used ultrasound guidance. This is lower than what other similar studies have found. The procedure can have complications including a collapsed lung, internal bleeding and coughing up blood.

FAQs

  1. What is a percutaneous core needle biopsy and how is it used to diagnose lung cancer?
  2. What percentage of the lung biopsies conducted in the researched hospital department used ultrasound guidance?
  3. What complications can arise from a percutaneous core needle biopsy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about lung biopsy is to discuss any potential risks and complications with their healthcare provider before the procedure. It is important for the patient to follow all pre-procedure instructions, such as fasting or stopping certain medications. After the biopsy, the patient should monitor for any signs of infection or worsening symptoms and follow up with their doctor as instructed. It is also important to discuss the results of the biopsy with their healthcare provider to determine the next steps in their treatment plan.

Suitable For

Patients who are typically recommended for a lung biopsy include those with suspected lung cancer or other lung diseases, such as interstitial lung disease or pulmonary nodules. Additionally, patients who have undergone imaging studies that show abnormalities in the lungs, such as a mass or nodule, may also be recommended for a lung biopsy. Patients who are not good candidates for surgery or who have medical conditions that make surgery risky may also be recommended for a lung biopsy.

Timeline

Before the lung biopsy:

  • Patient is referred to a specialist for further evaluation of a lung abnormality seen on imaging
  • Patient undergoes a thorough medical history and physical examination
  • Patient may undergo additional imaging tests, such as CT scans or MRI, to further evaluate the abnormality
  • Specialist discusses the risks and benefits of a lung biopsy with the patient
  • Consent is obtained from the patient for the procedure
  • Patient may be asked to stop taking certain medications or to fast before the procedure

During the lung biopsy:

  • Patient is positioned on their back or side on a procedure table
  • Local anesthesia is administered to numb the area where the biopsy needle will be inserted
  • Ultrasound guidance is used to locate the abnormal tissue in the lung
  • A thin biopsy needle is inserted through the skin and into the lung to obtain a tissue sample
  • Patient may feel pressure or discomfort during the procedure
  • Tissue samples are sent to the lab for analysis

After the lung biopsy:

  • Patient is monitored for any immediate complications, such as bleeding or collapsed lung
  • Patient may be asked to remain in the hospital for observation or discharged home with instructions for care
  • Results of the biopsy are typically available within a few days to a week
  • Specialist discusses the biopsy results and any further treatment options with the patient
  • Patient may experience some soreness or coughing up blood after the procedure, which usually resolves within a few days
  • Follow-up appointments may be scheduled to monitor the patient’s recovery and response to treatment.

What to Ask Your Doctor

  1. What is the purpose of the lung biopsy and how will it help in diagnosing my condition?
  2. Why is ultrasound guidance being recommended for this procedure?
  3. What are the potential risks and complications associated with a lung biopsy, particularly when using ultrasound guidance?
  4. What is the success rate of obtaining a sufficient tissue sample using ultrasound guidance compared to other methods?
  5. How experienced is the medical team in performing lung biopsies with ultrasound guidance?
  6. How will I be monitored during and after the procedure to ensure any complications are promptly addressed?
  7. What is the expected recovery time and when can I expect to receive the biopsy results?
  8. Are there any alternative diagnostic tests or procedures that could be considered instead of a lung biopsy?
  9. How will the biopsy results impact my treatment plan and prognosis?
  10. Are there any specific instructions or precautions I should follow before and after the lung biopsy procedure?

Reference

Authors: Kayastha P, Adhikari B, Paudel S, Suwal S, Shingh SS, Chapagain P, Regmi PR. Journal: JNMA J Nepal Med Assoc. 2024 Jan 2;62(269):27-29. doi: 10.31729/jnma.8397. PMID: 38410012