About Scalene Node Biopsy
Key Highlights
-
Provides a definitive tissue diagnosis for unexplained lymph node enlargement in the neck/chest area.Crucial for accurate staging of lung cancer and other thoracic malignancies.Minimally invasive approach with a small incision, leading to less post-operative pain and better cosmetic results.Can help diagnose non-cancerous conditions like sarcoidosis or tuberculosis.Offers a high diagnostic yield when imaging studies are inconclusive.
Who is this surgery for?
- Unexplained enlargement of scalene or supraclavicular lymph nodes detected on physical exam or imaging (CT/PET scan).
- To confirm or rule out metastasis (spread) of suspected lung cancer for staging purposes.
- Suspected lymphoma involving mediastinal or hilar lymph nodes.
- Diagnosis of granulomatous diseases such as sarcoidosis or tuberculosis when other tests are inconclusive.
- Evaluation of a mediastinal mass or tumor of unknown origin.
- Persistent lymphadenopathy (swollen lymph nodes) that does not resolve with initial treatment.
How to prepare
- Complete a thorough medical evaluation, including blood tests and imaging studies (like a CT scan).
- Discuss all current medications with the surgeon; you may need to temporarily stop blood thinners.
- Inform the surgical team of any allergies, especially to anesthesia.
- Fast (no food or drink) for 6-8 hours before the procedure as directed for general anesthesia.
- Arrange for someone to drive you home after discharge and assist you for the first 24 hours.
- Pre-operative counseling to understand the procedure, risks, and expected outcomes.
Risks & possible complications
- Bleeding or hematoma (collection of blood) at the biopsy site.
- Infection of the surgical wound.
- Injury to nearby structures, such as the phrenic nerve (which controls the diaphragm), leading to temporary or permanent shortness of breath.
- Damage to the thoracic duct, potentially causing chyle leakage, a rare but serious complication.
- Pneumothorax (collapsed lung) if the lung's lining is inadvertently punctured.
- Scarring or numbness around the incision site.
- Reactions to general anesthesia.
- Possibility of a non-diagnostic sample requiring further procedures.
Recovery & hospital stay
- Initial monitoring in a recovery area for a few hours to watch for breathing difficulties or bleeding.
- Pain at the incision site is common and managed with prescribed pain medication.
- Keep the incision clean and dry as per the surgeon's instructions; watch for signs of infection (redness, swelling, discharge).
- Avoid strenuous activities, heavy lifting, and vigorous arm movements on the side of the biopsy for 1-2 weeks.
- You may have a sore throat from the breathing tube used during anesthesia.
- Follow-up appointment to remove any stitches and discuss the biopsy pathology report, which is critical for planning further treatment.
-
Typical hospital stay: 1 day (often outpatient or 24-hour observation)
-
Expected recovery time: 1-2 weeks for routine activities; 2-3 weeks for full recovery and strenuous work
Frequently Asked Questions
If you are considering scalene node biopsy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for scalene node biopsy in India include Kamineni Hospital, Tadigadapa, Manipal Hospital Bhubaneswar, Manipal Hospital Mukundapur, Manipal Hospital Dhakuria, Manipal Hospital Malleshwaram, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform scalene node biopsy. MediFyr helps you compare general surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for scalene node biopsy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 25 Thousand – 75 Thousand | 1 day (often outpatient or 24-hour observation) | ~ 1-2 weeks for routine activities; 2-3 weeks for full recovery and strenuous work | Know More |
| Turkey | TRY 87.5 Thousand – 263 Thousand | 1 day (often outpatient or 24-hour observation) | ~ 1-2 weeks for routine activities; 2-3 weeks for full recovery and strenuous work | Know More |
Top hospitals for Scalene Node Biopsy in India
These partner hospitals in India have dedicated general surgery teams and experience managing patients undergoing scalene node biopsy.
Emily Williams, a 42-year-old elementary school...
Emily Williams, a 42-year-old elementary school teacher and mother of two, had been experiencing a persistent, dull ache in her left shoulder and neck for three months. She initially attributed it to stress and poor posture from grading papers. However, when a small, painless lump appeared just above her collarbone, she grew concerned. Her primary care physician ordered a chest X-ray, which was clear, but due to the lump's location and persistence, she was referred to a general surgeon. The surgeon, Dr. Evans, explained that the lump was likely a lymph node in the scalene area and, given its characteristics, a biopsy was necessary to rule out serious conditions like lymphoma or metastatic cancer. Emily was terrified, her mind racing to the worst-case scenarios about her family's future. The procedure was performed under local anesthesia. She felt pressure and some discomfort but no sharp pain. The recovery was straightforward, with some soreness and a small bandage. A week later, the results came back as sarcoidosis, a manageable inflammatory condition. The relief was overwhelming. While she faced a new chronic diagnosis, the fear of a life-threatening cancer was gone, replaced by profound gratitude and a focused determination to manage her health.
General surgeons for Scalene Node Biopsy
Explore experienced general surgeons who regularly perform scalene node biopsy and provide pre- and post-operative care in India.
- 31 Years Experience
- General surgeon
Miot Hospital Chennai, Chennai
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 27 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 24 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- General surgeon
- 16 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 26 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 41 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 11 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 18 Years Experience
- General surgeon
Manipal Hospital Mysore, Mysore
- 39 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 35 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore