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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 Selangor 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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Occupying the status of both the most populous and developed state, Selangor is indeed the pride of Malaysia. Its advanced infrastructure and superior living standards, coupled with the country's lowest instance of poverty, make it stand out. Perfectly positioned on the western coast of Peninsular Malaysia, it envelops Kuala Lumpur and Putrajaya, both of which were formerly a part of Selangor. Despite its impressive development marked by towering structures,
Selangor manages to retain its natural charm boasting splendid landscapes and tranquil retreats. The state's deep-rooted cultural essence and unmatched healthcare services further enhance its appeal.
Selangor is the medical tourists’ favorite destination because of its geographical position and low cost of living. The state has some of the best medical experts with 12 government hospitals and over 30 private hospitals and medical centers, many of which are recognized internationally and accredited by Joined Commission International and the Malaysia Society for Quality in Health (MSQH).
Selangor has become a preferred destination for medical tourists who seek procedures such as dental surgeries, cosmetic surgeries, IVF treatments, and eye surgeries. Among the numerous hospitals offering these procedures, KPJ Ampang Puteri and Sunfert International Fertility Centre have gained immense popularity due to their high standards and patient-centric approach. This underlines Selangor's standing as a leading destination for healthcare in the region.
Tourists who want to indulge in Selangor’s beautiful nature can go to Kuala Selangor Beach (Mirror of the Sky), Chilling Waterfalls, Kuala Selangor Nature Park, or the National Zoo of Malaysia. Those who want to experience culture can visit Galeri Diraja Sultan Abdul Aziz, Mah Meri Cultural Village, and Sultan Alam Shah Muzeum.
Among Selangor's numerous tourist magnets, Batu Caves stands out. This impressive limestone hill is home to three large caves and multiple smaller ones. Revered as a national treasure of Malaysia, Batu Caves hold immense religious significance for the Hindu community.
Visitors are always in awe of the world's tallest statue of the Hindu deity, Murugan, situated here. In addition to the religious and natural appeal, the site also offers sights of varied cave fauna and thrilling climbing routes, delivering an all-round enriching experience.
The state’s capital, Shah Alam, also has plenty to offer. Tourists can go to I-City to see millions of LED lights, indoor park, or to shop. The Blue Mosque (Sultan Salahuddin Abdul Aziz Shah Mosque) is also a popular destination where tourists can see the beautiful mix of Islamic and Malay architecture.
Adorned with a tropical rainforest climate, Selangor is characterized by a warm and humid environment all year round. Daytime temperatures generally fluctuate between 25 - 35°C, but during the dry season, these can peak at a scorching 37°C.
The wet season ushers into the region as the calendar transitions into April, often extending as far as October, leaving the land generously watered. An increased intensity of rains is observed towards September and October, marking the peak of the rainy spell. For prospective visitors seeking to avoid the wet season, the months from late November to February typically prove the most comfortable for exploring and sightseeing, blessed with less rainfall and mild temperatures.
However, it should be remembered that even amidst the monsoon season, the weather isn't uniformly gloomy; there are often luminous intermissions. The sun tends to break through the rain-soaked clouds, bathing the land in its warm rays. Consequently, even during the monsoons, numerous days are well-lit, and visitors have ample opportunities to explore the local beauty undeterred. Brazil, in every season, has its unique appeal. Whether it's soaked in rain or draped in warm sunshine, it never fails to mesmerize its guests.
There are two main airports: Kuala Lumpur International Airport (KLIA) and Subang Airport. Kuala Lumpur International Airport is the main airport in Malaysia that has a multitude of routes across the globe. The airport is divided into two parts, KLIA that mostly serves large airlines, and KLIA 2 that focuses on serving low-cost carries. Subang Airport is the hub for FireFly and Malindo Air.
Navigating Selangor is made effortless by its well-established infrastructure. The primary means of transportation include taxis, trains, and buses. Taxis, while economical, can prove to be slightly tricky, as some drivers refrain from using the fare meter. Visitors are therefore advised to approach taxi counters to secure a fixed-rate coupon, ensuring they aren't subjected to inflated prices.
Public transit systems like the KTM Komuter Train, MRT, and LRT are widely recognized as the most efficient modes of transportation for traversing Selangor. However, it's important to note that these service networks may not extend to certain rural areas. When visiting these less accessible regions, tourists may find it beneficial to hire a car, thereby gaining the advantage of flexibility. Alternatively, the option of using bus services provides a more economical solution for easy mobility.
Nationals hailing from countries like China, India, Myanmar, Sri Lanka, Nepal, Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro are required to secure a visa prior to their arrival in Malaysia. Meanwhile, most other nationalities are offered the convenience of visa-free entry, valid for either a 30-day or 90-day stay. It is crucial for all visitors, regardless of their country of origin, to hold a passport that remains valid for at least six months subsequent to their entry into Malaysia.
An online visa application platform or eVisa is available for selected foreign nationals. eVisa can be applied around the world except for Malaysia and Singapore. Tourists who wish to visit Malaysia for medical treatment can apply for an eVisa Medical, valid for a single journey with a maximum of 30 days. The Malaysian Government has a very strict visa regulation, overstaying will result in RM10.000 fine and/or 5 year’s imprisonment, do ensure to extend your tourist visa if you need to.