This needle biopsy removes a sample of the lung and the lining of the lungs and chest wall (pleura). The sample is tested in a lab.
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This procedure is done to look for abnormal tissue in or around the lung from problems like:
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
Things that may raise the risk of problems are:
The surgical team may meet with you to talk about:
The doctor may give:
You will sit upright on the edge of a bed or chair. Your arms will be resting on a nearby table. An ultrasound or CT scan may be used to locate the biopsy site. A small cut will be made in your skin. Then, while you hold your breath, the biopsy needle will be inserted through the cut. The needle will be passed between your ribs until it reaches the lung or pleura. Some cells will be removed through the biopsy needle. The needle will be taken out. A bandage will be placed on the site.
30 to 60 minutes
You may pressure when the biopsy needle is inserted. You may also feel a tugging when it is taken out.
The sample will be sent to a lab for testing. Another image may be taken to make sure your lungs are working well.
Physical activity may be limited for up to a week.
Call your doctor if you are not getting better or you have:
If you think you have an emergency, call for medical help right away.
Canadian Cancer Society
The Lung Association
Needle biopsy of the lung. Radiological Society of North America Radiology Info website. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=nlungbiop. Updated April 21, 2020. Accessed May 5, 2020.
Needle biopsy of the lung, pleura, mediastinum, or adrenal glands. Memorial Sloan Kettering Cancer Center website. Available at: http://www.mskcc.org/cancer-care/patient-education/resources/needle-biopsy-lung-pleura-mediastinum-adrenal-glands. Updated October 24, 2019. Accessed May 5, 2020.
Pleural biopsy. Johns Hopkins Medicine website. Available at: http://www.hopkinsmedicine.org/healthlibrary/test_procedures/pulmonary/pleural_biopsy_92,p07757. Accessed May 5, 2020.
Thoracentesis. EBSCO DynaMed website. Available at:https://www.dynamed.com/procedure/thoracentesis. Updated March 25, 2020. Accessed May 5, 2020.
Transthoracic needle biopsy. The Merck Manual Professional Edition website. Available at: http://www.merckmanuals.com/professional/pulmonary_disorders/diagnostic_pulmonary_procedures/transthoracic_needle_biopsy.html. Updated June 2019. Accessed May 5, 2020.
Types of biopsy procedures. American Cancer Society website. Available at: https://www.cancer.org/treatment/understanding-your-diagnosis/tests/testing-biopsy-and-cytology-specimens-for-cancer/biopsy-types.html. Updated July 30, 2015. Accessed May 5, 2020.
Last reviewed February 2020 by EBSCO Medical Review Board Daniel A. Ostrovsky, MD Last Updated: 5/5/2020