在接受脏质量活检的患者的长期随访:播种不是事
Michael Staehler1, Severin Rodler1, Isabel Brinkmann1
1Department of Urology, University Hospital Munich-Grosshadern, Ludwig-Maximilians-University, Munich, Germany.
Clinical genitourinary cancer
|November 20, 2023
概括
质活检具有罕见的瘤播种风险,发生在5.7%的患者中. 这项研究强调了改善活检技术和对质的长期随访的需要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 在瘤学瘤学.
- 干预性放射学 干预性放射学
背景情况:
- 脏活检对于诊断脏质量至关重要,当治疗决定不清楚时.
- 与质活检相关的长期风险尚未得到充分证实.
研究的目的:
- 评估脏质活检的长期风险,特别关注瘤播种.
- 评估活检结果对患者管理的影响.
主要方法:
- 追溯分析了106名在2003-2005年间接受了不清楚质的脏活检的患者.
- 用同轴技术和超声指导进行穿皮的程序.
- 最低15年的随访时间.
主要成果:
- 在平均8.2年的随访后,6名患者 (5.7%) 发生了瘤播种.
- 活检结果改变了42%的患者的治疗,指导非手术治疗 (淋巴瘤,转移,细胞瘤).
- 58%被诊断为细胞癌,经过手术或切除治疗;没有观察到从播种中转移的转移.
结论:
- 瘤播种是一种罕见但显著的脏质活检风险.
- 质活检的指示越来越多,需要加强长期跟踪和技术改进,以减轻并发症.
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