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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 Nepal 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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Nepal is a country in South Asia, sandwiched between India and China. Home to the mighty Mount Everest, this incredible country has diverse landscapes, from the Himalayan Mountains in the north to the sprawling plains in the south. Towering mountains, charming hill villages, golden mountains, and jungle wildlife, Nepal is truly one of the world’s best travel destinations. Beyond its nature and culture, this country is also increasingly popular for its healthcare. With its affordable high-quality medical facilities, Nepal is considered to have immense potential for medical tourism, due to the availability of good infrastructure, highly trained specialists, modern medical equipment, and relatively cheaper medical treatment. In fact, it’s currently the fastest-growing segment of the country’s tourism. Medical tourists coming to Nepal are usually seeking exceptionally high medical treatment at competitive rates. Some of the most sought after procedures are dental treatments, cardiac services, and neurological treatments.
Kathmandu, the capital and largest city in Nepal, is historic, enticing, spiritual, and vibrant. One of the most famous attractions in the city is the old town, where tourists can find the most popular Tibetan pilgrimage site, the Kathesimbhu Stupa. Another top attraction is Kumari Bahal, which is the home of the Kumari, the girl who is selected to be the town’s living symbol of Devi. Tourists looking to relax in a more laid-back vibe usually go to Pokhara. Stretching along the shore of an idyllic lake, it offers spectacular scenery. It also boasts a thriving adventure-sports industry, from paragliding to paddle boats. Anyone who wants to experience an ancient way of life should visit Bhaktapur, which is filled with artisan weave cloths, amazing cuisine, and beautiful temples.
The main international airport in Nepal is Tribhuvan International Airport, which serves flights to and from numerous cities in Asia, such as Delhi, Hong Kong, and Dubai. Getting around the country can be a challenge, but public transportation is available. Buses are affordable, however, they tend to be overloaded. Tourist buses are the best way to travel around as they are in good condition.
Citizens of India do not need a visa to enter Nepal without restrictions. Citizens of almost all nations, including the US and all EU countries, can obtain a visa on arrival that is valid for up to 90 days. Only holders of passports from 12 countries, need to have a visa in advance.
Nepal has five seasons. Spring starts in March until May, it offers pleasant weather that is not too cold nor too hot. Summer arrives in June and ends in August, bringing hot temperatures of around 28°C. Monsoon from June to September receives rain almost every day. Autumn and pre-winter bring sunny and pleasant weather, while winter can be very cold.
Local Currency: Nepali rupee (NPR) is the official currency. 1 USD converts to 115 NPR.
Money & Payments: ATMs are available in major cities, such as Kathmandu and Pokhara. Credit cards are accepted in major hotels and restaurants. Tipping is expected.
Local Language: The official language is Nepali. English is mainly spoken in tourism areas.
Local Culture and Religion: Hinduism and Buddhism coexist in Nepal peacefully. Islam, Kiratism, and Christianity are in the minority.
Public Holidays: Some of the most celebrated public holidays are Maha Shivaratri, Buddha Jayanti, Sambidhaan Diwas, and Bhaitika.