Open pleural biopsy

An open pleural biopsy is a procedure to remove and examine the tissue that lines the inside of the chest. This tissue is called the pleura.

How the Test is Performed

An open pleural biopsy is done in the hospital using general anesthesia. This means you will be asleep and pain free. A tube will be placed through your mouth down your throat into your windpipe (trachea) to help you breathe.

The surgery is done in the following way:

• After cleaning the skin, the surgeon makes a small cut in the left or right side of the chest.
• The ribs are gently separated.
• A scope may be inserted to see the area to be biopsied.
• Tissue is taken from inside the chest and sent to a laboratory for examination.
• After surgery, the wound is closed with stitches.
• Your surgeon may decide to leave a small plastic tube in your chest to prevent air and fluid from building up.

The breathing tube may not be able to be removed right after surgery. So, you may need to be on a breathing machine for some time.

How to Prepare for the Test

You should tell your surgeon if you are pregnant, allergic to any medicines, or if you have a bleeding problem. Be sure to tell your health care provider about all the medicines you take, including herbs, supplements, and those bought without a prescription.

Follow your surgeon's instructions for not eating or drinking before the procedure.

How the Test will Feel

When you wake up after the procedure, you will feel drowsy for several hours.

There will be some tenderness and pain where the surgical cut is located. Most surgeons inject a long-acting local anesthetic at the surgical cut site so that you will have very little pain afterward.

You may have a sore throat from the breathing tube. You can ease the pain by eating ice chips.

You may have a tube in your chest to remove air. This will be removed later.

Why the Test is Performed

This procedure is used when the surgeon needs a larger piece of tissue than can be removed with a pleural needle biopsy. The test is most often done to rule out mesothelioma, a type of lung tumor.

Pleural needle biopsy

Pleural biopsy is a procedure to remove a sample of the pleura. This is the thin tissue that lines the chest cavity and surrounds the lungs. The bi...

Image

Read Article Now Book Mark Article

Mesothelioma

Malignant mesothelioma is an uncommon cancerous tumor. It mainly affects the lining of the lung and chest cavity (pleura) or lining of the abdomen (...

Image

Read Article Now Book Mark Article

It is also done when there is fluid in the chest cavity, or when a direct view of the pleura and the lungs is needed.

This procedure may also be done to examine a metastatic pleural tumor. This is a type of cancer that has spread from another organ to the pleura.

Metastatic pleural tumor

Metastatic pleural tumor is a type of cancer that has spread from another organ to the thin membrane (pleura) surrounding the lungs.

Image

Read Article Now Book Mark Article

Normal Results

The pleura will be normal.

What Abnormal Results Mean

Abnormal findings may be due to:

• Abnormal tissue growth (neoplasms)

  Neoplasms

  A tumor is an abnormal growth of body tissue. Tumors can be cancerous (malignant) or noncancerous (benign).

  Read Article Now Book Mark Article
• Certain infections (bacterial, viral, fungal, or parasitic)
• Mesothelioma
• Tuberculosis

  Tuberculosis

  Pulmonary tuberculosis (TB) is a contagious bacterial infection that involves the lungs. It may spread to other organs.

  

  Image

  Read Article Now Book Mark Article

Risks

There is a slight chance of:

• Air leak
• Excess blood loss
• Infection
• Injury to the lung
• Pneumothorax (collapsed lung)

  Pneumothorax

  A collapsed lung occurs when air escapes from the lung. The air then fills the space outside of the lung between the lung and chest wall. This buil...

  

  Image

  Read Article Now Book Mark Article