Histopathological diagnosis of bone and soft tissue tumors
Puncture biopsy YesBone and soft tissue tumorsGet OrganizationPathologydiagnosisThe main method of.Biopsy may be abandoned, patientclavicleThe blood vessels are dense and separatedcarotid arteryCloser.
Chinese name
Puncture biopsy
Cause
Bone and soft tissue tumors
Role
In recent years, the incidence has gradually increased,
Bone and soft tissue tumorsIt is a disease that seriously endangers human health and life. In recent years, the incidence has gradually increased, and the age of onset has gradually declined. Early detection, correct diagnosis, and timely treatment are important forprognosisHas an important impact.With the continuous improvement of examination means and methods, the accuracy of diagnosis has gradually improved, but there are still a large number of tumors that do not have typicalImagingIt is difficult to diagnose.Correct diagnosis requires clinic, imaging and pathologyTriple combination。Among them,pathologic diagnosis It plays a key role in the choice of treatment scheme.Puncture biopsy is the main way to obtain pathological diagnosis.
Material acquisition
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becauseMalignant tumorOfLimb salvageTreatment has become the main trend, which requires more strict requirements on the access and method of biopsy.Incorrect biopsy is often caused by samplingtumourFor local important structures such as blood vesselsFasciculus nerviThe tumor cannot be completely removed due to the pollution ofTreatment failure。Therefore, before needle biopsy, we should fully understand the nature, stage and treatment of the tumor, make a full preoperative plan, and ensure that the needle path for sampling is located on the surgical incision, so that it can be completely removed during surgery.Therefore, a large number of literatures emphasize that puncture biopsy should be performed by experiencedSpecialistOperation, and it is better to conduct biopsy operation by the surgeon in person to improve puncture biopsyAccuracy, decreasecomplication。
cardinal principle
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Therefore, before biopsy, we recommend following important principles:
1. Before biopsy, we should attach great importance and plan carefully as if we were making a surgical plan.Because this is the beginning of tumor treatment, which is a crucial first step. Incorrect biopsy will bring catastrophic consequences to patients.
2. The principle of aseptic operation should be strictly observed, and it should be performed as a routine operationSkin preparation, hemostasis suture.
3. Make sure that the biopsy will not affect the formulation of the operation plan in the futureContaminated ZoneIt shall be able to be completely removed.
4. Ensure that there are enoughRepresentativenessForPathologistDiagnosis. If the pathologist cannot make a clear diagnosis, detailed clinical and imaging data should be provided in a timely manner.
5. If the doctor or hospital does not have the conditions to diagnose and treat the tumor, the tumor patient should be transferred to the doctor or hospital that has the ability to diagnose and treat the tumor for regular treatment before biopsy.
