Raws li cov ntaub ntawv los ntawm World Health Organization (WHO), mob qog noj ntshav tshwm sim ze li ntawm10 lab tuaghauv 2020, suav txog kwv yees li ib feem rau ntawm tag nrho cov neeg tuag thoob ntiaj teb.Feem ntau hom mob qog noj ntshav hauv cov txiv neejyog mob ntsws cancer, mob qog nqaij hlav prostate, mob qog nqaij hlav hauv plab, mob plab, thiab mob qog noj ntshav.Rau cov poj niam, feem ntau hom yogmob cancer ntawm lub mis, mob qog nqaij hlav hauv plab, mob ntsws cancer, thiab mob qog noj ntshav.
Kev kuaj pom ntxov, kuaj pom, kuaj kab mob pathological, kev kho tus qauv, thiab kev saib xyuas zoo tau ua rau muaj txiaj ntsig zoo thiab kev ua neej zoo rau ntau tus neeg mob qog noj ntshav.
Pathological Diagnosis - "Gold Standard" rau kev kuaj mob qog nqaij hlav thiab kev kho mob
Kev kuaj mob pathologicalYuav kom tau txais tib neeg cov ntaub so ntswg los yog hlwb los ntawm txoj kev xws li kev phais resection, endoscopic biopsy,percutaneous puncture biopsy, los yog zoo-koob aspiration.Cov qauv no yog tom qab ua tiav thiab tshuaj xyuas siv cov cuab yeej xws li lub tshuab ntsuas ntsuas los soj ntsuam cov qauv ntawm cov ntaub so ntswg thiab cov yam ntxwv ntawm cov cellular pathological, uas pab ua kom muaj kab mob.
Kev kuaj mob pathological yog suav tias yog"gold standard"hauv kev kuaj mob qog nqaij hlav thiab kev kho mob.Nws yog ib qho tseem ceeb raws li lub thawv dub ntawm lub dav hlau, raws li nws ncaj qha cuam tshuam rau kev txiav txim siab ntawm cov qog benignity los yog malignancy thiab tsim cov kev npaj kho mob tom ntej.
Qhov tseem ceeb ntawm Biopsy hauv Pathological Diagnosis
Kev kuaj mob pathological yog suav tias yog tus qauv kub rau kev kuaj mob qog noj ntshav, thiab tau txais cov qauv biopsy txaus yog qhov yuav tsum tau ua ua ntej rau kev kuaj kab mob zoo.
Kev kuaj lub cev, kuaj ntshav, kuaj zis, thiab kuaj cov duab tuaj yeem txheeb xyuas qhov loj, nodules, lossis qhov txhab, tab sis lawv tsis txaus los txiav txim siab seb qhov txawv txav lossis qhov loj me no puas yog benign lossis malignant.Tsuas yog los ntawm biopsy thiab kuaj kab mob pathological tuaj yeem txiav txim siab lawv qhov xwm txheej.
Ib qho biopsy, tseem hu ua kev tshuaj xyuas cov ntaub so ntswg, suav nrog kev tshem tawm kev phais, kev tshem tawm forceps, lossis puncture ntawm cov ntaub so ntswg nyob los yog cov qauv ntawm tes los ntawm tus neeg mob rau kev kuaj mob los ntawm tus kws kho mob.Kev kuaj biopsy thiab pathological feem ntau yog ua kom nkag siab tob txog seb qhov mob / qhov hnyav puas yog mob qog noj ntshav, hom mob qog noj ntshav, thiab nws cov yam ntxwv.Cov ntaub ntawv no yog qhov tseem ceeb hauv kev taw qhia cov phiaj xwm kho mob tom ntej, suav nrog kev phais, kev kho hluav taws xob, thiab kev kho tshuaj.
Cov txheej txheem biopsy feem ntau yog ua los ntawm cov kws kho mob radiologist, endoscopists, lossis kws phais.Cov qauv tau txais cov ntaub so ntswg los yog cov qauv ntawm tes raug tshuaj xyuas los ntawm cov kws kho mob hauv lub tshuab kuaj kab mob, thiab kev tshuaj xyuas ntxiv tuaj yeem ua los ntawm kev siv immunohistochemistry thiab lwm txoj hauv kev.
Technical Case
1. Cyst Sclerotherapy
2. Abscess Drainage nrog Catheter Placement
3. Tumor Chemotherapy Ablation
4. Khoom Tumor Microwave Ablation
Post lub sij hawm: Lub Xya hli ntuj-27-2023