I-needle biopsy (CNB) esemqoka isetshenziswe lapho udokotela wakho edinga ulwazi oluthe xaxa mayelana nesifuba sebele kunomzimba wamammogram , i- ultrasound , noma isifiso esihle senaliti anganikeza.
Inaliti esemqoka, noma inaliti yomlomo engavundile, ingasetshenziswa ukuthola amasampula amancane amathisimu avela emlonyeni wesifuba . Amasampuli amathisipuni azothunyelwa ebhodini le-pathology lokuhlolwa. Le nqubo ingenziwa ehhovisi, emtholampilo noma esibhedlela udokotela oqeqeshwe kule mboni.
Ukuba ne-biopsy yenaliti esemqoka kungakusiza ukuba ugweme i- biopsy yokuvula evulekile .
Amanye Amagama we-CNB:
- isisekelo esingenaliti yesinal biopsy
- i-incisional needle biopsy
Izizathu Zokuba ne-CNB
Ukuba ne-biopsy yesifuba kunoma yiluphi uhlobo kungabangela ukucindezeleka, kodwa kuyindlela enhle yokuthola ukuthi yiqiniso kangakanani isisindo sebele esabangela ukukhathazeka. Kungenzeka ukuthi usuvele unesifiso esihle senaliti (ukususa uketshezi noma izicubu), kodwa awutholanga imiphumela ecacile. Isaliti esingenalutho esingenalutho (insimbi engu-16-, 14-, noma i-11-gauge needle) ingathatha amasampula amakhulu amathisamu omzimba kanye nesisindo somzimba esiseduze. I-pathologist yakho ingenza izivivinyo ezinembile kakhulu nezivivinyo ezincane kumasampuli amakhulu amakhulu, ukukunika nodokotela wakho umbono ongcono wokuqhubeka.
Izinhlobo Zezinqubo
Ama-biopsies amakhulu angokwenziwe ayenziwe ngezindlela eziningana ezehlukene, kuye ngokuthi ubukhulu noma indawo ye-mass mass isampuliwe. I-biopsy yenaliti ye-Freehand ingasetshenziselwa izibani noma izixuku ezingabonakala kalula.
Kodwa uma inhlama encane kakhulu ukuba ingazizwa, noma ijulile kakhulu ukuze ihlose inaliti, kunezinye izindlela ezisebenzisa i-imaging nokusizwa ngomshini: i -biopsy eyayiqondiswa yi-ultrasound , i- stereotactic needle biopsy , ne -biopsy eyasizwa nge-vacuum .
Okufanele Ukulindele
Uzophaphama ngesikhathi senqubo, kepha isifuba sakho sizobe sisilinganiswa nesikhombiso sokusilaphaza kwendawo.
Udokotela wakho uzothola isikhumba ngokuthinta noma ngesiqondiso kusuka ku-imaging technology. Udokotela wakho uzofaka inaliti esemqoka esikhunjeni sakho esihlwini ukuze athathe amasampula amathishu. Ukuqinisekisa ukuchithwa kwemiphumela, kuzothathwa amasampuli amathathu kuya kweziyisithupha. Kufanele ulindele ukuzizwa ucindezelekile ngesikhathi senqubo, kodwa qiniseka ukuthi uvumele udokotela wakho wazi uma uzizwa ubuhlungu obukhulu. Ngemuva kwenqubo, ungase ube nokulimala kumasayithi enaliti, kodwa akukho izibazi. Uzokwazi ukubuyela emsebenzini noma ekhaya ngokushesha.
Imiphumela
Amasampula akho amathisipuni azovivinywa ebhodini lokugula, futhi umbiko obhaliwe uzothunyelwa kudokotela wakho. Umphumela omubi uthe akukho mdlavuza owatholakali. Umphumela omuhle uchaza ukuthi ubukhulu bubuhlungu, futhi kuzodingeka ukuhlolwa okuningi ukuze uthole ukuhlonza okuqondile.
Ukunemba kokuhlola
Ngenxa yokuthi inaliti enkulu ingasusa isampula enkulu yamathambo, futhi amasampuli amaningi athathwa ukuze kuqhathaniswe, i-core nucleal biopsy inembile kakhulu kunesifiso senaliti enhle. I-biopsy yenaliti esemqoka ingaba phakathi kuka-97 no-100% enembile ngokunikeza ukuxilongwa. Uma unezibilini ezincane kakhulu noma izinsimbi ezinzima kakhulu, inaliti esemqoka ingase ingakwazi ukuthatha isampula lesisindo esihle, futhi ezinye izindlela ze-biopsy zingadingeka.
Izinzuzo nezingozi
I-nucleal core needle biopsy inembile kakhulu kunesifiso futhi ingenasidingo esingaphansi kwe-biopsy evulekile noma evulekile. I-biopsy yenaliti ngeke ishiye izibazi zangaphandle noma zangaphakathi, ngakho-ke ngeke zithinte izifundo ze-imaging zesifuba esizayo. Kukhona njalo ithuba lokuthi inaliti ingaphuthelwa endaweni enonya, kodwa udokotela wakho uzama ukunciphisa lokhu kungenzeka. I-needle biopsy eyinhloko ayisona ukwelashwa, futhi ngeke isuse konke ukulimala. Uma imiphumela yakho ibuyele emihle ngomdlavuza, kuzodingeka ucabangele izivivinyo eziningi kanye nokwelashwa.
Imithombo:
I-American Cancer Society. Kwabesifazane Ababhekene Ne-Breast Biopsy. Isitoreji Sesiko Esiyinhloko (CNB). Kubuyekezwe: 09/19/2007.
I-International Journal of Cancer. Ukuchithwa kokuxilongwa kwe-stereotactic-core-core isaleli biopsy yesifo esingenakulinganiswa nesifuba: Imiphumela yocwaningo olulandelwayo oluningi oluthile oluzohlolwa ngokuqinisekisa okungu-95%. Helena M. Verkooijen. I-Vol. 99, No. 6, amakhasi 853-859, 2002.
I-National Cancer Institute. Ukuqonda Izinguquko Zebele: Umhlahlandlela wezeMpilo wabesifazane. Izivivinyo Zokulandelela Ukukutshela Okunye: Isitoreji Esiyinkimbinkimbi.