Diagnosis and Staging

Diagnosis. Diagnosis of chest wall tumors should initially involve a personal history, physical examination, chest x-rays and a CT scan. Occasionally, an MRI can distinguish tumors from vessels and nerves, but the most accurate diagnosis can only be made through a biopsy. Biopsy options include an incisional biopsy, excisional biopsy, or needle aspiration biopsy.

• X-Ray. A type of energy beam that can go through the body and onto film, making a picture of areas inside the body.
• CT Scan (CAT Scan). Also known as a computed tomography scan, this high-tech computer linked x-ray machine takes a series of detailed pictures from many different angles, offering thorough images of the affected tissue.
• MRI (Magnetic Resonance Imaging). A procedure that uses a magnet, radio waves and a computer to make a series of detailed images of the body. These pictures pinpoint diseased tissue.
• Incisional Biopsy. A biopsy in which only a sample of the suspicious tissue is cut into (incised), removed and studied by a pathologist.
• Excisional Biopsy. A biopsy in which the entire tumor is removed and studied by a pathologist.
• Needle Aspiration Biopsy. Performed on patients diagnosed with primary tumors elsewhere in the body, this procedure involves a tiny needle that is inserted into the abnormal tissue. The needle then draws up tissue for pathologists to study.

To schedule advanced diagnostic testing, or to join our Multidisciplinary Lung Clinic, ask your primary care physician for a referral or make a self-referral by calling 1-877-LACKS-MI or 616-752-LACK(S).