Lymph node biopsy

Lymph node biopsy yog qhov tshem cov qog ntshav ntawm lub qog ua kev tshuaj ntsuam hauv lub tshuab tsom.

Cov qog ntshav yog cov qog ntshav me uas ua kom cov qe ntshav dawb (lymphocytes), uas tawm tsam kis mob. Cov qog ua ntshav yuav cuab tus kab mob uas ua rau muaj mob. Cov kab mob khees xaws tuaj yeem kis rau cov qog ntshav.

Feem ntau cov qhov txhab qog nqaij hlav mus kuaj nyob rau hauv chav kho mob hauv tsev kho mob lossis ntawm qhov chaw phais mob sab nrauv. Txoj kev siv lub zom zaws tuaj yeem ua kom sib txawv.

Kev qhib lub qog nqaij tawm yog phais kom tshem tag nrho lossis ib feem ntawm cov qog ntshav. Qhov no feem ntau yog ua yog tias muaj cov qog ntshav tuaj yeem cuam tshuam ntawm kev kuaj mob. Qhov no tuaj yeem ua nrog tshuaj loog hauv zos (tshuaj loog) txhaj rau thaj chaw, lossis nyob rau hauv kev tso tshuaj kom tsaug zog. Cov txheej txheem feem ntau yog ua raws li cov hauv qab no:

• Koj pw ntawm cov ntawv xeem. Koj muab cov tshuaj rau koj ua kom koj siab nqig thiab ua rau koj tsaug zog lossis koj yuav ua kom tsaug zog, uas txhais tau tias koj tsaug zog thiab tsis hnov ​​mob.
• Qhov chaw xaib no yog qhov huv.
• Kev txiav me me phais (phais (phais)) tau. Lub qog ntshav lossis ib feem ntawm ntawm node raug tshem tawm.
• Qhov phais txiav yog kaw nrog stitches thiab ib daim ntaub qhwv lossis cov kua nplaum ua kua pleev.
• Qhib me me li ntawm 30 rau 45 feeb.

Rau qee cov qog nqaij hlav, txoj hauv kev tshwj xeeb los nrhiav qhov qog ntshav zoo tshaj plaws rau qhov txhab. Qhov no yog hu ua kev kuaj cov ntshav ntawm lub cev thiab nws muaj:

Ib qho me me ntawm ib qho kev sib tw, tsis hais lub tshuab hluav taws xob (radioisotope) lossis xiav zas xim lossis ob qho tib si, raug txhaj rau qhov nqaij hlav lossis hauv thaj chaw ntawm lub qog.

Qhov chaw pib los yog zas xim rau hauv ze tshaj plaws (hauv zos) qhov ntawm lossis pob hlav. Cov nodes no yog hu ua cov xa tawm. Txoj xov hauv ntshav yog thawj qog ntshav uas tus mob cancer kis tau.

Cov xov hlau roj ntshav lossis cov ntshav xa tawm.

Cov qog ntshav hauv lub plab yuav raug tshem tawm nrog lub laparoscope. Nov yog lub raj me me nrog lub teeb thiab lub koob thaij duab uas tau tso los ntawm kev phais me me hauv plab. Ib lossis ntau lwm cov kev sib koom yuav ua thiab cov cuab yeej yuav muab tso kom pab tshem tawm ntawm. Cov qog ntshav tau nyob thiab ib feem lossis tag nrho nws raug tshem tawm. Qhov no feem ntau ua nyob rau hauv kev siv tshuaj loog, uas txhais tau tias tus neeg muaj tus txheej txheem no yuav tsaug zog thiab tsis hnov ​​mob.

Tom qab cov qauv tshem tawm, nws xa mus rau chav kuaj rau kev kuaj mob.

Kev siv rab koob uas txhaj koob yuav tso ib rab koob rau hauv cov leeg ntshav. Hom kev rho tawm no tuaj yeem ua los ntawm tus kws ntsuas hluav taws xob nrog lub tshuaj loog hauv zos, siv ultrasound lossis CT scan kom pom cov ntawm.

Qhia rau koj tus kws khomob:

• Yog koj xeeb tub
• Yog tias koj muaj kev tsis haum tshuaj
• Yog tias koj muaj teeb meem los ntshav
• Yam tshuaj uas koj noj (nrog rau tshuaj pab lossis tshuaj ntsuab)

Koj tus kws khomob yuav hais kom koj:

• Tsis txhob noj ib co ntshav ntshav, xws li cov tshuaj aspirin, heparin, warfarin (Coumadin), lossis clopidogrel (Plavix) raws li qhia
• Tsis txhob noj lossis haus dab tsi tom qab ib lub sijhawm ntawm lub sijhawm ua ntej mus kuaj
• Mus txog hauv lub sijhawm ntawm cov txheej txheem

Thaum cov tshuaj loog rau lub zos raug txhaj, koj yuav hnov ​​tus mob prick thiab qhov mob me me. Qhov chaw biopsy yuav mob rau ob peb hnub tom qab kuaj.

Tom qab qhib lossis laparoscopic kev kuaj mob, qhov mob yog mob me me thiab koj tuaj yeem tswj nws yooj yim nrog cov tshuaj yuav tom khw muag tshuaj. Koj yuav pom tias ib co nqaij doog lossis kua dej tawm mus ob peb hnub. Ua raws li cov lus qhia rau kev saib xyuas ntawm kev phais. Thaum lub sijhawm phais nws kho kom zoo, zam txhua yam kev tawm dag zog lossis hnyav nqa uas ua rau mob lossis tsis xis nyob. Nug koj tus kws khomob txog cov kev qhia tshwj xeeb uas koj tuaj yeem ua.

Txoj kev ntsuam xyuas no yog siv los kuaj mob qog nqaij hlav cancer, mob sarcoidosis, lossis mob sib kis (xws li mob ntsws):

• Thaum koj lossis koj tus kws kho mob hnov ​​cov qog o thiab lawv tsis ploj
• Thaum cov qog ntshav qog ua paug nyob rau ntawm xoo fais fab mis, tus duab hluav taws xob, CT, lossis MRI scan
• Rau qee tus neeg muaj mob qog noj ntshav, xws li mob cancer mis lossis mob qog ntshav, saib puas yog tus kabmob kis tau (kis qog nqaij hlav lossis rab koob xoo los ntawm kws tshaj lij)

Cov txiaj ntsig ntawm qhov nqaij mus kuaj yuav pab koj tus kws kho mob txiav txim siab mus soj ntsuam thiab kev kho mob ntxiv.

Yog lub qog ntshav nyob hauv lub cev tsis qhia cov tsos mob qog nqaij hlav, feem ntau muaj lwm cov qog ntshav nyob ze kuj yog tus mob cancer. Cov ntaub ntawv no tuaj yeem pab tus kws kho mob txiav txim siab txog kev sim txuas ntxiv thiab kho mob.

Qhov tshwm sim tsis zoo yuav yog vim muaj ntau yam mob, los ntawm kev kis mob me mus rau mob qog noj.

Piv txwv li, cov qog ntshav ໃຫຍ່ yuav yog vim:

• Mob qog noj mis (mis, ntsws, qhov ncauj)
• HIV
• Mob qog ua qog ua ntshav (Hodgkin lossis tsis-Hodgkin lymphoma)
• Kab mob (mob ntsws, miv kos)
• Kev o ntawm cov qog ntshav thiab lwm yam hauv nruab nrog cev thiab cov nqaij (sarcoidosis)

Lymph node biopsy tej zaum yuav ua rau muaj qee yam hauv qab no:

• Ntshav
• Kev kis mob (hauv qee qhov tsawg, lub qhov txhab yuav kis tau tus kab mob thiab koj yuav tsum siv tshuaj tua kab mob)
• Kev raug mob yog tias qhov nqaij mus kuaj rau lub qog ua nyob ze rau txoj hlab ntshav (tus lej feem ntau ploj mus li ob peb hlis)

Txaij - qog ntshav; Qhib cov qog ntshav tawm; Kev siv rab koob; Sentinel lymph node biopsy

• Lymphatic system
• Lymph node metastases, CT scan

Chernecky CC, Berger BJ. Tso me me, qhov chaw hais kom meej - coj mus kuaj. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mob. 6 tus ed. St Louis, MO: Elsevier Saunders; Xyoo 2013: 199-202.

Chung A, Giuliano AE. Lymphatic kuas thiab xa cov lymphadenectomy rau mob cancer mis. Hauv: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. Ob lub mis: Tso ntxig rau Kev Tswj Kab Mob thiab Malignant Kab Mob. Thib 5 ed. Philadelphia, PA: Elsevier; 2018: chap 42.

Lub koom haum Cancer National website. Sentinel lymph node biopsy. www.cancer.gov/about-cancer/diagnosis-staging/staging/sentinel-node-biopsy-fact-sheet. Hloov kho lub Rau Hli 25, 2019. Nkag mus Lub Xya Hli 13, 2020.

Cov Hluas NA, Dulaimi E, Al-Saleem T. Cov qog ntshav: cytomorphology thiab ntws cytometry. Hauv: Bibbo M, Wilbur DC, eds. Cytopathology txuas nrogCov. 4 tug ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 25.