Lung biopsy – FNA and bronchoscopy

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Lung Biopsy in Israel – Accurate Diagnosis for Personalized Lung Cancer Treatment

A lung biopsy is a vital diagnostic procedure used to clarify findings from imaging tests such as chest X-ray or CT scan. In Israel, a lung biopsy is commonly performed to confirm or rule out lung cancer, as well as to diagnose other lung conditions such as tuberculosis, bacterial pneumonia, sarcoidosis, or inflammatory lung diseases.

We collaborate with leading Israeli cardiothoracic surgeons and pulmonologists who specialize in advanced diagnostic techniques. Lung biopsies are performed at top medical centers in Israel, ensuring precision, safety, and rapid results.

Why is a Lung Biopsy Needed?

A lung biopsy helps doctors:

  • Confirm or exclude lung cancer
  • Identify metastases (secondary tumors) in the lung
  • Diagnose infections (such as TB or bacterial pneumonia)
  • Evaluate inflammatory conditions like sarcoidosis
  • Guide treatment planning through pathology and molecular analysis

By analyzing tissue under a microscope, pathologists in Israel can determine not only whether cancer is present, but also its type, stage, and genetic mutations – essential information for personalized cancer treatment.


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How is a Lung Biopsy Performed in Israel?

1. Bronchoscopy with Biopsy

The most common method for lung biopsy in Israel is bronchoscopy.

A bronchoscope – a thin tube with a light and camera – is inserted through the nose or mouth into the airways.

The doctor can directly examine the trachea, bronchi, and lungs on a video screen.

Biopsy samples are then taken from suspicious areas.

Bronchoscopy types:

  • Flexible bronchoscopy – usually under local anesthesia; well-tolerated and minimally invasive.
  • Rigid bronchoscopy – performed under general anesthesia, often used in complex cases.

During bronchoscopy, different biopsy techniques may be used:

  • Fine needle aspiration (FNA) – collects cells from a tumor using a thin needle.
  • Forceps biopsy – small tissue pieces are removed for pathology.
  • Bronchoalveolar lavage (lung washing) – saline is introduced and then collected for analysis.
  • Brush biopsy – a soft brush scrapes cells from the airways for testing.

The procedure usually lasts 15–60 minutes.

2. Bronchoscopy with Lymph Node Biopsy (EBUS/EUS)

Israeli hospitals use the latest endobronchial ultrasound (EBUS) and endoscopic ultrasound (EUS) technology.

This allows doctors to biopsy mediastinal lymph nodes (in the center of the chest) without the need for open surgery.

EBUS/EUS reduces complications, avoids general anesthesia, and provides faster access to pathology results.

This is especially important for staging lung cancer and deciding whether surgery, targeted therapy, or immunotherapy is the best option.


Preparing for a Lung Biopsy

Before a bronchoscopy with lung biopsy, patients undergo:

  • Blood tests (including clotting profile PT/PTT)
  • Review of CT or X-ray scans

Adjustment of medications:

  • Blood thinners (Coumadin, Clexane, Aspirin, etc.) are stopped several days prior.
  • Diabetic patients should avoid insulin on the morning of the test but bring it along.

Fasting: Patients must stop eating 6 hours before the procedure.


After the Procedure

Patients are observed for several hours in a recovery room.

A chest X-ray may be performed to rule out complications such as pneumothorax (air leak).

Most patients can go home the same day.

Eating is usually allowed 1–2 hours after the test.

Biopsy results are typically ready within 3–5 days. Pathology reports in Israel include molecular testing to identify genetic mutations (EGFR, ALK, ROS1, etc.), guiding personalized treatment decisions.

Risks and Safety of Lung Biopsy

Lung biopsy in Israel is a safe procedure with a low risk of complications. Still, patients should be aware of potential side effects, including:

  • Minor bleeding at the biopsy site
  • Temporary shortness of breath
  • Infection
  • Pneumothorax (collapsed lung, rare)
  • Irritation of the vocal cords (temporary hoarseness)

Thanks to experienced Israeli doctors and the use of advanced equipment, the complication rate is very low, and most patients recover quickly.


Why Choose Israel for a Lung Biopsy?

  • Expert pulmonologists and thoracic surgeons with global recognition
  • State-of-the-art diagnostic tools (PET-CT, MRI, EBUS, liquid biopsy)
  • Integration with treatment – biopsy results directly guide the choice of targeted therapy, immunotherapy, or surgery
  • Fast turnaround – pathology and molecular reports available within days
  • Personalized approach – every biopsy is part of an individual treatment plan

A lung biopsy in Israel is not just a diagnostic procedure – it is the cornerstone of personalized lung cancer treatment. By identifying the exact type of tumor and its molecular profile, Israeli doctors can recommend the most effective therapies, whether surgery, targeted drugs, or immunotherapy.


Frequently Asked Questions

  • Why do I need a lung biopsy?
    To confirm a diagnosis of lung cancer, infection, or inflammation, and to guide your treatment plan.
  • Is bronchoscopy painful?
    Flexible bronchoscopy is not painful. Patients may feel mild discomfort, but anesthesia and sedation make the procedure tolerable.
  • How long will I stay in the hospital?
    Most patients return home the same day. In rare cases, short observation is required.
  • When will I get results?
    Pathology and molecular results are usually available within 3–5 days.
  • What are the risks?
    The procedure is generally safe. Rare complications include minor bleeding or air leakage from the lung.

With world-class specialists, cutting-edge technology, and a personalized approach, a lung biopsy in Israel offers patients accuracy, safety, and fast results for effective treatment planning.


 

Сonsultation with the Head of Lung Cancer Institute

Contact us for a professional opinion from a leading Israeli Lung Cancer Expert.

Send us your medical history and diagnostic results (biopsy report, PET-CT, MRI, imaging disks), and we will provide the full consultation details, estimated cost, and—when possible—a personalized lung cancer treatment plan in Israel.

Whether you are newly diagnosed or dealing with advanced disease, you can arrange an online lung cancer consultation with Israel’s top specialists at any stage.

Choose a Lung Cancer Specialist

Dr. Damien Urban - leading doctor for lung cancer, head and neck cancer in IsraelDr. Damien Urban - Director of the Lung Cancer Department, Sheba Medical Centre. Lung Cancer Specialist.

Dr. Gottgried Maya - the leading oncologist in Israel for lung cancerDr. Maya Gottfried - Head of Lung Cancer Department and Research Center, Meir Hospital, Israel

Prof. Milton SauteHead of the Thoracic Surgery Department, Beilinson Hospital, Assuta Medical Center, Israel


During the consultation, the following is discussed:

  • Review of PET-CT, MRI brain and biopsy results
  • Treatment options based on tumor type and genetic profile
  • Personalized therapy guided by tumor sensitivity testing
  • Possibility of receiving treatment in Israel
  • Eligibility for clinical trials
After the consultation: You receive a written medical opinion with tailored treatment recommendations — for care either at home or in Israel.

Learn About Lung Cancer Treatment:

Advanced treatment of Any Type and Stage of Lung Cancer:

*The content of this page is for informational purposes only and is not considered medical advice, a professional opinion, or a substitute for consulting a specialist in any field. If you have any medical concerns, you should consult a doctor.

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We will promptly coordinate a doctor consultation and medical treatment in Israel.

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