test results

kennyt said:

the doctor wants me to have a

the doctor wants me to have a vats procedure but another surgeon said that they always do a fine needle biopsie that is adequate and a lot easier on the patient. at this point I just don't want a procedure that isn't absolutely necessary. any thoughts?

Kenny, I haven't had any of these procedures but have read a lot about them.  The needle biopsy while less invasive can sometimes be inconclusive.  With VATS, you are more likely to get definitive answers and if the nodules are mets, they can remove them which would be a plus.  Hopefully they're not but if so getting them out would be a good thing. 

Goodluck, you are in my thoughts.

Laura

lauragb said:

Danker, VATS stands for

Danker, VATS stands for Video-assisted thorascopic surgery.  It is used for a variety of purposes, one being the biopsy and removal of suspicious lung nodules.  Through small incisions in the chest wall, a scope is inserted giving a good view of what's in the lung.  During VATS, mets can be removed, margins cleared, etc.  If they are in tricky spots though, then an open surgery might be necessary.  I have read of many people having VATS instead of the needle biopsy because it is more accurate, sometimes during the needle biopsies, the nodules are missed so test is inconclusive.  I would say that the doctor's opinion of what he or she sees on the CT or MRI plus philosophy determine whether a needle biopsy or VATS is used.  I think it is worth asking the surgeon why he or she is choosing one over the other. 

Marie posted a link from Mayo clinic on VATS.

Goodluck,

Laura

Thank you! I will definItely ask about it when I go for my biopsy!!!