{"id":1130693,"date":"2023-06-08T12:10:27","date_gmt":"2023-06-08T16:10:27","guid":{"rendered":"https:\/\/nortonhealthcare.com\/?post_type=service&p=1130693"},"modified":"2024-02-13T12:29:31","modified_gmt":"2024-02-13T17:29:31","slug":"lung-biopsy","status":"publish","type":"service","link":"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/services\/lung-biopsy\/","title":{"rendered":"Lung Biopsy"},"content":{"rendered":"\n

You may be preparing for a lung biopsy procedure after a lung cancer screening<\/a> raised a cause for concern with your doctor.<\/p>\n\n\n\n

While lung nodules<\/a> are rarely lung cancer<\/a>, the advantages of early treatment make testing many nodules worthwhile. To test the nodule, a small sample of tissue needs to be removed and examined under a microscope by a pathologist.<\/p>\n\n\n\n

A biopsy can help pinpoint the cause of a lung nodule, mass or other pulmonary condition. Other conditions that may require a biopsy include sarcoidosis<\/a>, interstitial lung disease, <\/a>infection and types of pneumonia<\/a>.<\/p>\n\n\n\n

Depending on your condition and the location of the tissue to be sampled, a biopsy can be performed in number of ways, ranging from a needle biopsy, under sedation, to surgery or a minimally invasive robotic-assisted bronchoscopy. Once the tissue sample is taken, it is examined by pathologists to help your physician make a diagnosis.<\/p>\n\n\n\n

Robotic-assisted Bronchoscopy <\/h2>\n\n\n\n

Norton Healthcare pulmonologists, oncologists and others use robotic-assisted bronchoscopy to reach more parts of the lung with greater precision to collect abnormal lung tissue samples from lung nodules and other tissue. In some cases, the tissue can be evaluated and the mass removed during the procedure. This can relieve you of having to wait for test results, then schedule another procedure.<\/p>\n\n\n\n

Before the development of minimally invasive robotic-assisted bronchoscopy, many nodules required surgical biopsies. With the minimally-invasive procedure, more nodules can be tested, and we have more opportunity to catch lung cancer at a very early stage when it\u2019s most treatable.<\/p>\n\n\n\n

Robotic-assisted bronchoscopy can reach every part of the lung, including the periphery \u2014 the very ends of tiny air passages or in tissue outside the passage \u2014 where about 70% of lung nodules develop.<\/p>\n\n\n\n

The robotic-assisted system uses a thin tube just more than one-eighth-inch wide with a camera. Your physician can pass tiny tools through the tube to the biopsy site. This thin tube, or catheter, is passed through your throat and can maneuver in tiny spaces that conventional bronchoscopes can\u2019t reach. <\/p>\n\n\n\n

You\u2019ll have a larger tube inserted in your mouth to provide a pathway for the bronchoscope while you\u2019re under general anesthesia. <\/p>\n\n\n\n

Using results from a CT scan taken before your procedure, your surgeon will have 3D map to plan the catheter\u2019s pathway. The physician steers the bronchoscope through the passageways, guiding it from a control panel. A monitor shows the catheter\u2019s progress and surrounding structures. Once at the site of the mass to be biopsied, the bronchoscope system uses shape-sensing technology to remain stable while the appropriate tools are passed through to collect tissue samples.<\/p>\n\n\n\n

Norton Healthcare has the capability to examine tissue samples immediately, and if cancer is detected, a separate robotic-assisted procedure allows for removal of the mass while you\u2019re still under anesthesia. <\/p>\n\n\n\n

Conventional bronchoscopes continue to be used for biopsies in more accessible parts of the lung and other airway examinations. <\/p>\n\n\n\n

If robotic-assisted bronchoscopy is right for you, your physician will perform the procedure at either Norton Hospital in downtown Louisville or at Norton Audubon Hospital. <\/p>\n\n\n\n

Lung Needle Biopsy<\/h2>\n\n\n\n

A needle biopsy of the lung is also known as a percutaneous transthoracic lung biopsy. You\u2019ll be awake, but sedated and under a local anesthesia for a PTLB as a biopsy needle is inserted through the chest into the lung with guidance from a CT scan or other real-time imaging. Once at the tissue site that is concerning, the needle is used to collect a sample and withdrawn. <\/p>\n\n\n\n

Open Biopsy<\/h2>\n\n\n\n

An lung open biopsy is a surgical procedure under general anesthesia. Your surgeon will cut into your chest and likely insert a small camera between the ribs. Once the diseased tissue is located and removed, it will be examined by a pathologist. A breathing tube will be in place throughout the surgery.<\/p>\n\n\n\n

Video-assisted Thoracic Surgery<\/h2>\n\n\n\n

Thoracic surgeons may use an endoscope to remove lung tissue through an incision in the chest. Your surgeon inserts a small tube through an incision between your ribs. A tiny camera on the end of the tube helps the surgeon see the entire chest cavity and find the tissue to be removed. Special instruments inserted through another tube collect the tissue for testing by a pathologist.<\/p>\n\n\n\n

Transbronchial Biopsy<\/h2>\n\n\n\n

In this procedure, the doctor uses a flexible bronchoscope inserted through the mouth or nose while you are under general anesthesia. This is typically used for lesions that are more easily accessed.<\/p>\n\n\n\n

Cryobiopsy<\/h2>\n\n\n\n

In this procedure, which is similar to a transbronchial biopsy, the tissue is frozen using nitrous oxide and removed.<\/p>\n\n\n\n

Results of a Lung Biopsy Procedure<\/strong><\/h2>\n\n\n\n

When samples are collected from your lung during a biopsy or cytology procedure, they are sent to a lab. A specialist called a pathologist will examine the tissue carefully and create a report. The report shows what type of lung cancer you may have (for example, small cell carcinoma). Abnormal results may require you to have further testing. Results are also used to plan treatment.<\/p>\n\n\n\n

Other information on your pathology report includes:<\/p>\n\n\n\n