A patient with extensive swelling and unexplained Chest or abdomen, and small and medium Amount of thickening of the pleura, which is Biopsy, using a semi-invasive techniques (techniques Requires only local anesthesia and no Includes several areas of the chest or abdomen). For example, the May be associated with the first biopsy Thoracentesis (The drainage of the chest) or paracentesis (removal of fluid in the abdomen) and pleural biopsy.
This is Relatively safe procedure that can play Diseases of the lung (lung doctor), and X-ray or surgeon. Local anesthetic (numbing medication, such as Since lidocaine) can reduce the feeling of temporary Imported into the area before the needle. A pleural needle biopsy, especially in helping The diagnosis of mesothelioma, usually Performed by the lungs. Because mesothelioma Usually diffuse (widespread) in the chest, and random A sample of pleural tissue can be Mesothelioma cells. Can be performed thoracentesis after pleural Completion of the biopsy. The doctor inserts a needle into A bag of fluid in the chest or abdomen to withdraw from Part of the liquid. Many times, the needle is just The use of a flexible catheter (thin tube about the size of Spaghetti), which is then used to extract liquid. After being processed through this fluid probe and Catheter is removed. Fluids and tissue biopsy of the pleura is Send to and / or cytologist physician to see Under the microscope the cells and determine the Or mesothelioma is present. In the past, the diagnosis The liquid medium volume only possible Only the third time because it is difficult Distinguish between the interacting cells or benign And cancer cells. With the color of the liquid with a special The powder can be diagnosed and doctors are now more Easy. Your doctor will refer to these points as "immunos" Shortly before the immune system. You must Ensure that all materials used in the biopsy was Studied using immune staining. There is always a chest radiograph after these procedures to ensure There were no complications from biopsies as Accumulation of air in the chest (pneumothorax). Chest radiograph is also very important to know whether Removed, the vast majority of media Lung is now able to expand and fill the air with his chest Cavity, as would normally be. There may be a need for more invasive testing if initial Semi-invasive test results are not sufficient If information or CT scan shows It would be difficult for semi-invasive tests. And This situation can occur if the latter was free fluid flowing But hidden in bags that are difficult to access. In such cases it is best to check directly in the chest Find out where the biopsy. And thoracoscopy (for Using a lighted room, with or without a camera, Carry out an examination of the breast) in patients Risk of mesothelioma and the development of large liquid Accumulation, with or without associated solid tumors Masses in the chest. In patients at risk Mesothelioma, but do not know where Thoracentesis Cancer, or who suffer from repeated wet After the first thoracentesis, thoracoscopy It can be done. This process Includes use a special tool called enlightened Thoracoscope to examine the chest cavity. Size Located in the chest between two ribs after a short (1 inch) incision through the chest wall. If the The doctor feels that the tissue that appears normal, or Cut a piece, or a piece of the biopsy obtained Viewed under a microscope. This fabric Examined for cancer cells. And thoracoscopy can provide crucial information for Decide how to deal with the patient. It gives great insight, the amount of disease Where the disease exists, for example, Parietal pleura alone or both of the parietal pleura And visceral pleura, diaphragm, or Pericardium. It can develop in the lungs also Evaluated with thoracoscopy. This will show If you expand the lungs because As this layer of the tumor confined to the lung Fills the air with each breath. And Introspection Similar to thoracoscopy, but it seems to The abdomen. Finally, if tests show that there is radiation More liquid from solid tumors, or if there is no longer Space where fluid can build up from the previous Efforts to control fluids, "open" biopsy Out.
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