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A lung biopsy is a procedure that involves removing a very small sample of lung tissue to be examined under a microscope for signs of disease. Your doctor may ask you to have a lung biopsy if something out of the ordinary is spotted on your chest X-ray or CT scan. The goal of this procedure is to create an accurate diagnosis.
A lung biopsy can be used to:
Determine whether a lung muss is benign (noncancerous) or malignant (cancerous)
Stage lung cancer
Identify the cause of inflammation in the lung
Monitor the progression of lung disease
Investigate the cause of unexplained fluid collection
Diagnose a lung infection.
There may be other reasons for your doctor to recommend a lung biopsy.
There are several types of lung biopsy. The type of biopsy performed depends on various factors, such as the type of lung problem, the location of the lesion, and your overall health.
Lung Needle Biopsy (Transthoracic Biopsy)
Lung needle biopsy is typically performed when abnormal tissue has developed near the chest wall. This type of lung biopsy uses a needle that is guided through the chest wall into the suspect area with fluoroscopy (a special type of X-Ray) or computed tomography (CT or CAT scan) to take a small tissue sample from the outer area of the lungs. The needle is usually placed through your chest between two ribs.
During a lung needle biopsy, you will be given a local anesthetic. This means that you will be awake but the affected area will be numbed. A sedative may also be given to help you relax.
Transbronchial Biopsy (Bronchoscopy)
Transbronchial biopsy uses a flexible tube that has a close-focusing telescope on the end for viewing called a fiberoptic bronchoscope. The tube is inserted into your lungs through the nose or mouth. Your doctor may take an X-ray in order to figure out the right spot to do the biopsy.
Numbing medication will be sprayed to the affected area, so you will be awake throughout the procedure. However, you may be given medication through an IV to help you relax. This type of biopsy is done to collect a sample of your lung tissue that is close to the airway.
Thoracoscopic Biopsy (Thoracoscopy)
During this type of lung biopsy, you will be given general anesthesia, your doctor will create three small incisions on your chest between the ribs. Then, a thin, lighted tube with a camera on its end (called an endoscope) is inserted through the incision. Various types of biopsy tools can be inserted through the endoscope to take lung tissue for examination.
Also known as video-assisted thoracoscopic surgery (VATS), this type of lung biopsy checks problems on the outside of your lungs.
Open Lung Biopsy (Limited Thoracotomy)
Open lung biopsy is usually suggested when other methods cannot get cell samples. During this procedure, you will be given a general anesthetic. Your doctor then creates an incision in the skin on your chest and a piece of lung tissue is removed surgically.
If a local anesthetic is used, you should be able to leave the hospital on the same day. For general anesthetic, you may need to stay in the hospital overnight. Since you need to attend a follow-up appointment to discuss the results of the biopsy, it is advisable that you stay in Bulgaria for about a week.
You will need to take it easy and rest as much as possible for a day or two after lung biopsy. It is important that you avoid strenuous activity for a week. If you have an open biopsy, the recovery time until you can resume your activity may take longer.
Your chest may feel sore for several days and you may need some pain medication to manage your discomfort. Make sure that you only take pain medication that your doctor prescribes since some pain medications, such as aspirin and NSAIDs, increase your risk of bleeding. If you have a wound from the lung biopsy, always follow your doctor’s instructions to clean it.
Lung biopsy is a safe procedure with a high success and accuracy rates. It is reported that percutaneous transthoracic lung needle biopsy has a success rate of 88 to 97%. However, the procedure does carry some risk. These include bleeding, coughing up blood, infection, and collapsed lung.
Lung biopsy is the only procedure that can provide a definite diagnosis of lung cancer. In some cases, your doctor may suggest imaging tests, such as an X-ray or a CT scan. However, even after these tests, your doctor may still ask you to undergo a lung biopsy.
Before you undergo lung biopsy, you and your doctor may not know for sure what is causing your symptoms. Your doctor may also find abnormalities in your chest that they cannot identify. After the procedure, your doctor will be able to make an accurate diagnosis. The results of the biopsy will help you and your doctor create a management or treatment plan for your condition.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Bulgaria has plenty to offer and tourists are going to be very impressed with the country’s mountainous landscapes, beautiful Black Sea beaches, fascinating history, friendly locals, lively nightlife, and affordability. Although the country’s holiday tourism is very much on the radar, it is also actually quite popular with medical tourists, due to its modern medical centers, highly trained medical professionals, state-of-the-art equipment, affordable healthcare, and mineral baths, thousands of medical tourists visit this country each year. Most of the medical tourists come for dental treatment, orthopedic surgery, elective surgery, neurosurgery, as well as health screening.
Bulgaria’s laid-back capital city, Sofia, is truly a must-visit. It is full of museums, Ottoman mosques, communist architecture, chic galleries, Eastern Orthodox churches, amazing restaurants, and upbeat clubs. One of the most popular landmarks in the country is the Aleksander Nevski Cathedral, which is an awe-inspiring church built between 1882 and 1912 to honor 200,000 Russian soldiers who died fighting for the independence of Bulgaria during the Russo-Turkish war. If you want to relax on beautiful beaches visit Varna, which is a major tourist destination during the summer. The second-largest, city in Bulgaria is Plovdiv and it is one of the oldest continuously inhabited cities in Europe. Tourists are attracted by the Roman Amphitheatre, Archeological Museum, and Tsar Simeon Central Garden.
Most international tourists will arrive at Sofia Airport, which serves flights to most numerous major cities in Europe and the Middle East. There are several budget airlines that operate flights from this airport, including Ryanair and Wizz Air. Domestic flights are available, but they tend to be expensive. Therefore, to travel from one city to another, trains and buses are the best option. Buses and trains are punctual and affordable. However, if you are in a hurry, you should avoid trains as they can be a little slow. To travel around big cities, taxis are widely available and are really cheap. Just make sure you choose a licensed taxi to avoid being overcharged.
While Bulgaria is not yet a part of the Schengen Area, it has a visa policy that is based on the Schengen system. Therefore, holders of Schengen Visa are allowed to enter the country. Additionally, citizens of 62 countries, including the US, Australia, and the UAE, can stay in the country for up to 90 days without a visa.
From June to August, Bulgaria experiences summer. The weather can get a bit hot and humid, with an average temperature of 19°C to 21°C. July is the wettest month in the country. Winter, from December to February, is usually freezing. Autumn and Spring bring pleasant weather.