Qhov Hla -Txoj kev sib koom ua ke ntawm Kev Siv Lub Ncauj Tsob Ntoo Tsob Ntoo hauv Kev Kho Mob Tsawg Tshaj Plaws Thiab Kev Tshawb Fawb Txog Kev Tshawb Fawb

https://www.sirius-medical.com/knowledge/breast-biopsy-needle-techniques

Tau ntev, brov biopsy needles tau suav tias yog cov cuab yeej kuaj mob nkaus xwb. Txawm li cas los xij, nrog kev txhim kho ntawm kev cuam tshuam hluav taws xob thiab kev phais me me, qhov koob me me no tau hloov pauv lub luag haujlwm tseem ceeb- hloov zuj zus los ntawm "scout" mus rau "cov tub rog tshwj xeeb," suav nrog kev kuaj mob, kev kho mob, kos npe, thiab saib xyuas, qhib lub hom phiaj -txoj kev tshiab hauv kev tswj kab mob ntawm lub mis.

1. Kev kuaj mob raws li kev kho mob: Kev siv tshuaj kho mob ntawm lub tshuab nqus tsev- Pab Excision

Lub tshuab nqus tsev-Assisted Biopsy (VAB) tau pib tsim los kom tau txais cov qauv ntaub so ntswg loj, tab sis tsis ntev cov kws kho mob pom tias lawv tuaj yeem siv los ua cov qog nqaij hlav me me. Rau cov qog nqaij hlav hauv lub mis (xws li fibroadenomas, papillomas) tsawg dua 2cm hauv txoj kab uas hla, VAB tuaj yeem ua txoj kev txiav tawm tsawg kawg nkaus ib yam li niaj hnub phais. Piv nrog rau kev phais kev phais ib txwm, nws tsuas yog yuav tsum tau txiav 3-5 hli, tsis muaj qhov caws pliav, thiab muab sijhawm luv luv. Nyob rau hauv daim ntawv thov no, lub biopsy koob lub teb hniav thiab lub tshuab nqus tsev yog muab lub hom phiaj tshiab ntawm "cov cuab yeej excision," ua tiav "kev kuaj mob thiab kev kho mob hauv ib kauj ruam."

2. Lub "Txoj Kev Kos Npe" rau qhov tseeb Localization: Biopsy Needles thiab Preoperative Wire Localization

Rau cov uas tsis yog - cov kab mob palpable (xws li microcalcification pawg), qhov tseeb preoperative localization yog qhov tseem ceeb rau kev ua tiav lub mis -txhawb kev phais. Cov txheej txheem ib txwm xaim hauv cheeb tsam cuam tshuam nrog kev ntxig cov hlua hlau txuas rau hauv qhov chaw ntawm qhov txhab los ntawm rab koob biopsy. Niaj hnub nimno radioactive noob localization thiab magnetic noob localization technologies ntxiv txhim kho txoj haujlwm ntawm rab koob biopsy. Siv cov coaxial cannula ntawm koob tshuaj biopsy, tus kws kho mob tau cog lus ncaj qha rau lub xov tooj cua iodine-125 los yog ferromagnetic particle, me dua li cov nplej nplej, rau hauv qhov txhab. Thaum lub sij hawm phais, tus kws kho mob siv lub gamma sojntsuam los yog magnetic induction detector los nrhiav cov particle, yog li excising qhov txhab. Ntawm no, rab koob biopsy plays lub luag haujlwm ntawm "lub tsheb xa khoom zoo," xa cov teeb pom kev hauv cheeb tsam mus rau qhov kev sib koom ua ke ua ntej.

3. Tus "Vanguard" ntawm Kev Kho Mob Ablation: Kev Siv Tshuaj Khomob (Integrated Biopsy)-Ablation Needles

Thermal ablation cov tswv yim (radiofrequency, microwave, cryoablation) tau dhau los ua kev kho mob zoo rau kev mob qog noj ntshav thaum ntxov thiab foci rov tshwm sim. Tshiab integrated biopsy- koob ablation tau tshwm sim. Hom koob no sib xyaw ua ke ntawm biopsy notch thiab ib qho ablation electrode ntawm qhov kawg ntawm qhov kawg. Tus kws kho mob thawj zaug siv cov koob no rau kev kuaj ntshav kom paub meej tias qhov xwm txheej pathological; Tom qab ntawd, yam tsis tau tshem lub koob, hloov mus rau hom ablation nrog ib qho nias rau thermally coagulate thiab necrotize qhov txhab. Tag nrho cov txheej txheem yog seamless, tsis txhob muaj kev pheej hmoo ntawm qhov thib ob puncture thiab realizing "ob siv nrog ib rab koob." Qhov no yuav tsum tau cov khoom siv koob kom muaj ob qho tib si zoo hluav taws xob / thermal conductivity thiab txhua yam muaj zog, ua rau muaj kev xav tau siab heev ntawm kev tsim thiab kev tsim khoom.

4. Qhov "Kev Tshaj Tawm" rau Kev Xa Tshuaj: Kev Siv Tshuaj Biopsy thiab Tshuaj Kho Mob Hauv Zos / Immunotherapy

Tumor heterogeneity txhais tau hais tias kev tswj hwm lub cev yuav tsis ua kom muaj txiaj ntsig zoo ntawm txhua qhov chaw mob. Cov kab uas tsim los ntawm cov koob tshuaj biopsy tuaj yeem pab txhaj tshuaj intratumoral. Piv txwv li, tom qab biopsy, tus kws kho mob tuaj yeem txhaj tshuaj chemotherapeutic, tshuaj tiv thaiv kab mob, lossis kab mob oncolytic rau hauv cov qog los ntawm tib rab koob. Qhov "kev siv zog hauv zos" lub tswv yim no yog txhawm rau ua kom lub cev tiv thaiv kab mob microenvironment hauv cheeb tsam ntawm cov qog, ua kom muaj "abscopal effect," thiab txawm tawm tsam metastases ntawm qhov chaw tsis txhaj tshuaj. Nyob rau yav tom ntej, ntse- teb hydrogels lossis nanoparticle cov cab kuj tseem tuaj yeem raug txhaj tshuaj los ntawm cov koob tshuaj biopsy los tsim cov dej ntim tshuaj, ua tiav cov kev kho mob tso tawm rau ob peb lub lis piam.

5. Tus "Sentinel" rau Kev Saib Xyuas Kev Ua Tau Zoo: Lub luag haujlwm ntxiv ntawm Kev Rov Ua Kev Txhaum Cai thiab Ua Kua Dej Biopsy

Thaum lub hom phiaj lossis kev siv tshuaj tiv thaiv kab mob, cov qog tuaj yeem tsim kev tiv thaiv lossis hloov pauv. Kev rov ua biopsy tsis tu ncua yog tus qauv kub rau kev soj ntsuam cov qog evolution. Qhov qis-kev raug mob ntawm cov koob tshuaj biopsy niaj hnub ua rau rov ua biopsies tau. Los ntawm kev sib piv cov noob caj noob ces ntawm cov qauv biopsy ua ntej thiab tom qab kev kho mob, cov kws kho mob tuaj yeem kho cov phiaj xwm tshuaj raws sijhawm. Nyob rau tib lub sijhawm, cov ntaub so ntswg tau los ntawm cov koob tshuaj biopsy kuj yog cov khoom siv zoo tshaj plaws los tsim cov neeg mob -derived organoids (PDOs) rau hauv vitro tshuaj rhiab heev rau kev kuaj mob, qhia kev kho mob tom ntej.

Cov ntsiab lus:

Cov ciam teb ntawm lub mis biopsy koob yog qhov muag plooj. Nws tsis yog ib leeg nyob rau hauv cov chaw kho mob thiab cov duab kos duab, tab sis tau dhau los ua lub platform thoob ntiaj teb rau kev sib koom tes sib koom tes (MDT) ntawm kev cuam tshuam hluav taws xob, kho mob oncology, thiab phais lub mis. Yav tom ntej lub mis biopsy koob yuav yog multifunctional me me phais platforms integrating sampling, kuaj mob, localization, ablation, tshuaj xa, thiab saib xyuas. Txhua qhov kev nce qib ntawm cov koob no txhais tau hais tias cov neeg mob qog nqaij hlav cancer mis ua ib kauj ruam loj mus rau lub hom phiaj ntawm "kev kuaj mob kom raug ntau dua, kev raug mob tsawg dua, thiab ua tau zoo dua."