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Open pleural biopsy
Definition
An open pleural biopsy is a procedure to remove and examine the tissue that lines the inside of the chest. This tissue is called the pleura.
Alternative Names
Biopsy - open pleuraHow the Test is Performed
An open pleural biopsy is done in the hospital using general anesthesia, which means you are asleep and do not feel pain during the surgery. A tube will be placed down your throat to help you breathe.
The surgeon will make a cut in the left or right side of the chest. A piece of tissue is taken from the chest area, and sent to a laboratory for examination. After surgery, the wound is closed with stitches.
How to Prepare for the Test
You will be asked not to eat or drink for 8 hours before the test.
How the Test Will Feel
You will be asleep during the procedure. There will be some tenderness and pain where the surgical cut is located. You may have a sore throat after the test due to the breathing tube.
Why the Test is Performed
This procedure is used when the surgeon needs a larger piece of tissue than that which can be removed with a pleural needle biopsy.
It is also performed when there are no body fluids in the pleura or when a direct view of the pleura and the lungs is necessary.
This procedure may also be done to examine a metastatic pleural tumor.
Normal Results
The pleura will be normal.
What Abnormal Results Mean
Abnormal findings may suggest:
- Tuberculosis
- Neoplasms (abnormal growth of tissue)
- Disease due to a virus, fungus, or parasite
Risks
There is a slight chance of excessive loss of blood, an air leak, or injury to the lung.
Reviewed By: J.A. Lee, M.D., Division of Surgery, UCSF, San Francisco, CA. Review provided by VeriMed Healthcare Network.





