Vulvar 活检: 穿孔活检还是宫切片活检?
Anthony Tuil1, Christine Bergeron2, Justine Varinot Lucet3
1Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris (AP-HP), University Hospital, 26 rue Lazare Carnot, Paris 75013, France.
Journal of gynecology obstetrics and human reproduction
|September 14, 2023
概括
穿孔活检 (PB) 和宫切片活检 (CFB) 对部病变的诊断准确度相似. 这两种方法都有较低的非贡献性活检率和严重疾病的低估,确保可靠的初始诊断.
科学领域:
- 妇科瘤学 妇科瘤学
- 皮肤病理学 皮肤病理学
- 手术病理学手术病理学
背景情况:
- 精确诊断病变对于适当的管理至关重要.
- 选择最佳的活检技术对于诊断产量和患者护理至关重要.
研究的目的:
- 为了比较穿孔活检 (PB) 与宫活检 (CFB) 对阴道病变的诊断性能.
- 为了评估在切除前的皮活检后,更严重的病变的低估率.
主要方法:
- 一项回顾性,描述性和比较性研究,涉及179个活检 (100 PB,79 CFB) 在2017-2022年期间在三个中心进行.
- 统计分析包括曼·惠特尼,皮尔森的千平方和费舍尔的精确测试,具有5%的显著程度.
主要成果:
- 在PB和CFB组之间的非贡献性活检率中没有发现显著差异 (p=1).
- 在68名接受切除术的患者中,有97%的患者在活检和切除样本病理之间显示出良好的相关性,这表明低低估值率.
结论:
- 穿孔活检和宫切片活检都显示了同样的诊断性能,用于部病变.
- 这些技术与同样低的非贡献性样本率和低估侵入性疾病相关.
相关概念视频
Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Imaging Studies VI: Voiding Cystourethrography and Cystography
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...


