{"id":28,"date":"2009-02-23T18:36:21","date_gmt":"2009-02-23T18:36:21","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pulbiopsy\/"},"modified":"2025-05-14T21:03:38","modified_gmt":"2025-05-14T21:03:38","slug":"pulbiopsy","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/pulbiopsy\/","title":{"rendered":"Indications for Lung Biopsy"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Patients with lesions on the chest radiograph should be discussed in a multidisciplinary meeting with a respiratory physician and radiologist at a minimum.<!--more--><\/p>\n<p>Percutaneous transthoracic lung biopsy (PTLB) should be considered in the following:<\/p>\n<ul>\n<li>New or enlarging solitary nodule or mass on the chest radiograph which is not amenable to diagnosis by bronchoscopy or CT shows it is unlikely to be accessible by bronchoscopy.<\/li>\n<li>Multiple nodules in a patient not known to have malignancy or who has had a prolonged remission or more than one primary malignancy.<\/li>\n<li>Persistent focal infiltrates, either single or multiple, for which no diagnosis has been made by sputum or blood culture, serology, or bronchoscopy.<\/li>\n<li>Hilar mass following negative bronchoscopy.<\/li>\n<\/ul>\n<p>Relative Contraindications to Lung Biopsy<\/p>\n<ul>\n<li>Abnormalities of lung function,<\/li>\n<li>Respiratory failure (including mechanical ventilation),<\/li>\n<li>Arterial and venous pulmonary hypertension,<\/li>\n<li>Coagulation abnormalities,<\/li>\n<li>The uncooperative patient.<\/li>\n<\/ul>\n<p>Complications of Lung Biopsy<\/p>\n<ul>\n<li>Pneumothorax (20.5% of biopsies),<\/li>\n<li>Pneumothorax requiring a chest drain (3.1%),<\/li>\n<li>Haemoptysis (5.3%), and<\/li>\n<li>Death (0.15%).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Manhire A, Charig M, Clelland C, Gleeson F, Miller R, Moss H, Pointon K, Richardson C, Sawicka E; BTS. Guidelines for radiologically guided lung biopsy. Thorax. 2003 Nov;58(11):920-36. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14586042\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>The Diffuse Parenchymal Lung Disease Group of British Thoracic Society. The diagnosis, assessment and treatment of diffuse parenchymal lung disease in adults. Introduction. Thorax. 1999 Apr;54 Suppl 1:S1-14. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11006787\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: June 11, 2006<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[233],"tags":[1589,1590,74,73,588,234,29],"class_list":["post-28","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-biopsia","tag-biopsy","tag-indicaciones","tag-indications","tag-lung","tag-pulmonar","tag-pulmonary"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/28","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=28"}],"version-history":[{"count":2,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/28\/revisions"}],"predecessor-version":[{"id":8872,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/28\/revisions\/8872"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=28"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=28"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=28"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}