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位于 拉乌尼翁的乳腺活组织检查
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关于拉乌尼翁中乳腺活组织检查您需要了解的所有信息
什么是过程涉及？
可以通过以下几种方式之一进行乳房活检： 细针穿刺活检–通常在临床乳房检查期间感觉到肿块时进行细针穿刺活检（FNAB）。当肿块可能充满液体时，通常会使用这种类型的活检。这对于将固体团块与充满液体的囊肿区分开来特别有用。在FNAB期间，放射科医生，外科医生或病理学家使用非常细的针头和注射器从明显的肿块（可以用手感觉到的肿块）中采集一些细胞样本。针头通常比血液测试中使用的针头类型小，患者可能不需要任何麻醉剂。但是，由于针很细，可能会漏掉附近的癌细胞。因此，如果诊断不清楚，您的医生可能会建议您进行其他类型的活检。 核心穿刺活检–通常进行这种活检以评估在乳房X光检查或超声检查中可见的乳房肿块。如果在临床乳房检查期间感觉到乳房肿块，您的医生也可以使用它。它使用细的空心针从乳房肿块中去除组织样本。使用的针头通常比细针穿刺活检中使用的针头大，并且可能会进入可疑区域达六次，以去除组织的多个核心。核心针穿刺活检是在局部麻醉下进行的，通常比细针穿刺活检需要更长的时间。但是，其错过癌细胞的机会较低，并且结果被认为更可靠。 开放式（手术）活检–也称为手术或切除活检，开放式活检涉及手术切除乳房肿块。外科医生在乳房上开一个约1-2英寸的切口，以切除全部或部分肿块以及少量正常组织。如果无法通过触摸找到肿块，则在手术之前，外科医生可以使用X射线将细针引导至肿块。一根很细的金属丝在细针的末端带有一个钩子，钩子固定在肿块上。然后取下针头，并将金属丝留在原处以将外科医生引导至可疑区域。这种活检可以在局部或全身麻醉下进行。
在某些情况下，可能需要专用工具才能引导针头到达目标区域。这种活检可能包括： 真空辅助活检–这种活检涉及创建一个微小的切口以插入空心探针。然后使用X射线，超声或MRI将空心探头引导至乳房肿块。探头到达肿块后，使用真空将乳房组织轻柔地吸入探头。这种活检可以使您的医生收集多个样本，因为可以旋转探针。 立体定向活检–立体定向活检期间使用计算机和乳房X线照片创建乳房的3D图像。 3D图像用于将活检针引导到目标区域。 超声引导活检–在超声引导活检期间，乳房肿块的超声图像用于帮助将针引导到目标区域。它的操作与核心针穿刺活检完全相同，但需借助超声。 MRI引导的活检–使用MRI机器帮助外科医生将活检针引导到肿块。在目标区域做一个小切口，并用芯针取样。 您将要进行的活检的类型取决于几个因素，包括： 可疑区域或乳房肿块所在的地方 可疑区域或乳房肿块的大小 如果有多个可疑区域 如果您有其他疾病 您的个人喜好。
什么是恢复时间？
恢复时间取决于您进行的乳房活检的类型以及所用麻醉的类型。通常，您应该在一天的剩余时间里尽可能多地休息，然后在第二天恢复正常活动。尽管如此，您仍需要几天避免剧烈运动，以免出现并发症。
关于什么善后？
在头几天，您可能需要在乳房活检部位穿敷料和特殊的胸罩。您的医生将为您提供有关淋浴，沐浴和伤口护理的说明。重要的是要保持活检区域清洁干燥。手术后几天，活检区域可能会感到疼痛。为了缓解疼痛和不适，您可以服用含有对乙酰氨基酚的止痛药，例如泰诺尔，但在服用任何药物之前，请务必咨询医生。在大多数情况下，您的医生会给您开止痛药。
什么是成功率？
乳房活检是一种安全有效的方法，成功率约为95％。乳房活检的测试结果将确定乳房中的肿块或可疑区域是良性（非癌性），癌前性还是癌性。仅有20％的乳房活检结果以癌变的形式回来。 如果发现乳房肿块是癌，则乳房活检也可以检测出癌症类型。从活检中获得的信息可用于帮助您规划治疗方案，其中可能包括： 肿块切除术（切除肿瘤并保护乳房的手术） 乳房切除术（切除整个乳房的手术） 化学疗法 放射治疗 激素疗法。 如果测试显示乳房肿块是非癌性的，那么该测试还将告诉您导致肿块的情况，例如腺纤维瘤，纤维囊性乳腺疾病，乳腺脂肪坏死和导管内乳头状瘤。 尽管乳房活检是一个非常安全的过程，但该过程仍存在一些风险，包括： 乳房肿胀和淤青 活检部位轻度疼痛 活检部位感染或出血 乳房外观改变 根据您的特定医疗问题，可能还会有其他风险。
信息已被医学专业人员准确地获取和验证，但仍建议您在列出的医疗服务提供者之一中进行治疗之前，先咨询您的医生。该内容的最后更新时间为*TimeStamp*。
更新: 22/09/2023
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