Breast biopsy - stereotactic
Definition
乳腺活组织检查是指切除乳腺组织,以检查是否有乳腺癌的迹象
乳腺活检有几种类型,包括立体定向活检,
Alternative Names
Biopsy - breast - stereotactic; Core needle breast biopsy - stereotactic; Stereotactic breast biopsy; Abnormal mammogram - stereotactic breast biopsy; Breast cancer - stereotactic breast biopsy
How the Test is Performed
You are asked to undress from the waist up. During the biopsy, you are awake.
你很可能被要求面朝下躺在活检台上. 被活检的乳房挂在手术台上的开口上. 桌子被抬高,十大赌博平台排行榜从下面进行活检. 在某些情况下,立体定向乳房活检是在你坐直的时候进行的.
The biopsy is done in the following way:
- 十大赌博平台排行榜首先清洗你乳房上的区域. Numbing medicine is injected.
- 在手术过程中,乳房被压下以保持其位置. 活组织检查时你要保持不动.
- 十大赌博平台排行榜在你乳房上需要活检的地方做一个很小的切口.
- 使用一种特殊的机器,针或护套被引导到异常区域的确切位置. Several samples of breast tissue are taken.
- 一个小的金属夹可以被放置在乳房活检区域. 如果需要的话,这个夹子标志着以后可以进行手术活检.
活检本身是使用以下方法之一完成的:
- Hollow needle (called a core needle)
- Vacuum-powered device
- Both a needle and vacuum-powered device
The procedure usually takes about 1 hour. 这包括x光所花费的时间. The actual biopsy takes only several minutes.
取完组织样本后,取出针头. 用冰和压在伤口上止血. 绷带会用来吸收液体. Stitches are not needed. 如有需要,可将胶条贴在任何伤口上.
How to Prepare for the Test
十大赌博平台排行榜会询问你的病史. A breast exam may be done.
If you take medicines (including aspirin, supplements, or herbs), 在活检前询问你的十大赌博平台排行榜是否需要停止服用这些药物.
Tell your doctor if you may be pregnant.
不要在腋下或乳房上使用乳液、香水、爽身粉或除臭剂.
How the Test will Feel
注射麻药时,可能会有点刺痛.
在手术过程中,您可能会感到轻微的不适或轻微的压力.
趴着躺一个小时可能会不舒服. Using cushions or pillows may help. 有些人在手术前会服用药片来帮助放松.
检查后,乳房可能会有几天疼痛和触痛. 按照指示做你可以做的活动, how to care for your breast, and what medicines you can take for pain.
Why the Test is Performed
立体定向乳房活组织检查用于小的生长或区域
组织样本被送到病理学家那里进行检查.
Normal Results
正常的结果意味着没有癌症的迹象.
当你需要后续乳房x光检查或其他检查时,十大赌博平台排行榜会通知你.
What Abnormal Results Mean
如果活组织检查显示乳腺组织是良性的,没有癌症,你可能不需要手术.
有时活检结果显示的异常迹象并非癌症. In this case, 外科活检可能建议切除整个异常区域进行检查.
活检结果可能显示异常情况,如:
- Atypical ductal hyperplasia
- Atypical lobular hyperplasia
Intraductal papilloma - Flat epithelial atypia
- Radial scar
- Lobular carcinoma-in-situ
- Fibroepithelial lesion
- Mucocele-like lesion
If the biopsy result is benign, you may not need any further treatment, 尽管有时推荐手术切除良性病变. If the biopsy shows an abnormal condition, 你可能会被推荐给外科十大赌博平台排行榜讨论手术活检,切除整个区域并进行更彻底的检查.
根据手术活检的结果,你可能需要进一步的手术或治疗.
您的十大赌博平台排行榜将与您讨论活检结果的意义.
Risks
在注射处或手术切口处有轻微的感染机会.
瘀伤很常见,但出血过多是罕见的.
References
American College of Radiology website. 立体定向引导乳房介入手术的ACR实践参数.
Cameron J. Breast. In: Cameron J, ed. Current Surgical Therapy. 14th ed. Philadelphia, PA: Elsevier; 2023:717-808.
Henry NL, Shah PD, Haider I, Freer PE, Jagsi R, Sabel MS. Cancer of the breast. In: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE,编. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 88.
Review Date: 03/11/2023