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Old 09-22-2011
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Default Biopsy in lung disorders.

Lung biopsy is indicated as most accurate diagnostic test in most disorders so is it open lung biopsy or tranthoracic needle aspiration. can anyone explain?
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Old 09-22-2011
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Default Depends on clinical suspicion

It really depends on what you're suspicion is.
If there's a lesion that's central and easily accesible with bronschoscopy than it would be the easiest to do it this way. If it's located in the periphery than it's transthoracic, most times CT guided. If the material is not sufficient or no diagnosis is made, biopsy is usually performed via video thorascopy.
If it's a diffuse area you're trying to biopsy, or the whole lung might be involved (e.g. Goodpasture), the best way is to do it via bronchoscopy first.
Also, don't forget, that way you can obtain a BAL for microbiology and citology on top of your biopsy.
Hope this helped.
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Ace3 (09-22-2011), ag2011n (09-22-2011)
  #3  
Old 09-22-2011
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Default

Quote:
Originally Posted by dr_mhm View Post
It really depends on what you're suspicion is.
If there's a lesion that's central and easily accesible with bronschoscopy than it would be the easiest to do it this way. If it's located in the periphery than it's transthoracic, most times CT guided. If the material is not sufficient or no diagnosis is made, biopsy is usually performed via video thorascopy.
If it's a diffuse area you're trying to biopsy, or the whole lung might be involved (e.g. Goodpasture), the best way is to do it via bronchoscopy first.
Also, don't forget, that way you can obtain a BAL for microbiology and citology on top of your biopsy.
Hope this helped.
thanks@dr_mhm ...nicely explained
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