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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 Dominican Republic 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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The Dominican Republic can be found on the island of Hispaniola and is a part of the island group, the Great Antilles. The nation has diverse natural environments and land features. Characterized by rugged mountains on one side and the other side consist of low lying valleys and coastal plains. It is the world’s leading producer of professional baseball players. It is also home to the highest mountain, Pico Duarte, and the largest lake, Lago Enriquillo in the Caribbean Region.
In recent times, the Dominican Republic has become popular with medical tourists. Tourists, particularly from the United States, visit the country for Plastic and Reconstructive surgeries, especially for Breast Augmentation procedure. About 25,000 to 30,000 patients visit the Dominican Republic yearly for various medical treatments. The most sought-after services are general, Plastic and cosmetic surgeries, dental procedures, weight-loss, oncology, and orthopedic treatments.
Most medical service providers are situated around the capital city Santa Domingo and Santiago. The medical establishments offer competitive healthcare services with highly-qualified and internationally-trained surgeons. The following clinics can be found in Santa Domingo: Dr. Rafael E. Estevez - Plastic, Reconstructive, and Aesthetic Surgeon, Dr. Gustavo Almanzar Plastic Surgery Clinic, Alba Reyes Skin, and Hair Transplant Institute and Dr. Ivan Strachan Bariatric Clinic.
The Dominican Republic is an unmatched destination with amazing natural sceneries, intriguing history, and diverse culture. It offers ecotourism adventures in splendid national parks, mountain ranges, beaches, and rivers.
Top attractions of the Dominican Republic:
Jarabacoa, Sosua, La Romana, Las Aguilas, and Puerto Plata & Playa Dorada are several other popular tourist spots in the Dominican Republic.
The Dominican Republic has a tropical weather climate, and constant temperature throughout the year, with average yearly temperature, is around 77°F.
The hottest and humid period is from May to October. The mild winter season is from December to March. The period between November and April are the moderate seasons.
Rainfall is seasonal. The eastern and southern coasts experience rains between April and October. The northern coast receives rains throughout the year due to the influence of the north-eastern trade winds. The southern region is prone to hurricanes, with most striking in the months of August and September.
The Dominican Republic offers easy access to the rest of the world with a myriad of flight options from North America and Europe. The main ports of entry into the country by air are the international airports in Santa Domingo, Punta Cana, and Puerto Plata. Santiago and Samana airports are other points of entry.
There are many flights from major cities of Canada and the US. The most frequent flights are from New York, Miami, Toronto, and Montreal. JetBlue, the budget airlines, operates flights from North America to Santo Domingo, Santiago, and Puerto Plata.
The Dominican Republic has a well-developed inter-country transport infrastructure with a large network of roads. It has many types of public transportation for moving around within cities such as buses, the metro, carro publicos, guaguas, and the motoconchos.
Carro Publicos are small car-public taxis and have a specific route displayed on their roof. Guaguas are privately-owned minivans and pick up travelers from any point and drop them off close to their desired location. Motoconchos are private motorcycle taxis that have reasonable fares and are ideal for short journeys.
Citizens of countries such as the UK, USA, and Canada, and Schengen countries are not required to have a tourist visa to enter the Dominican Republic, under a bilateral agreement between the countries. However, they do need to:
Nationals of countries like India, Sri Lanka, China, and Russia need to get a tourist visa to travel to the Dominican Republic. The visas are multiple-entry type and are valid for 60 days.