转向跨关前列腺活检:一个叙事审查
Younsoo Chung1, Sung Kyu Hong1,2
1Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea.
Prostate international
|March 25, 2024
概括
跨膜 (TP) 活检为诊断前列腺癌 (PCa) 提供了一个比跨直肠 (TR) 活检更安全的替代方案,克服了TR活检.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 前列腺癌 (PCa) 是一个主要的全球健康问题,亚洲的晚期患病率更高.
- 跨直肠 (TR) 活检,诊断标准,面临的局限性包括感染风险,直肠动脉损伤,并难以访问前列腺区域.
- 核磁共振导向活检试图减轻TR活检问题,但不能完全解决访问挑战.
研究的目的:
- 评估跨关节 (TP) 活检作为更安全,更有效的替代TR活检前列腺癌诊断.
- 为了解决TR活检的局限性,包括感染风险和解剖学访问问题.
- 为了呈现TP活检作为一个可行的诊断方法,尽管最初的感知疼痛和成本.
主要方法:
- 审查关于跨膜 (TP) 活检技术和结果的现有研究.
- TP和TR活检方法之间的诊断性能,癌症检测率和并发症率的比较.
- 评估TP活检的进展,包括局部麻醉 (尾神经阻塞) 和自由手技术.
主要成果:
- 跨关节 (TP) 活检显示了与模板导向方法相比较的诊断结果.
- 最近的研究表明,自由手TP活检是可行的和有效的.
- TP活检显示出安全有效的前列腺癌诊断的潜力,解决了TR方法的局限性.
结论:
- 跨关节 (TP) 活检是前列腺癌诊断的跨直肠 (TR) 活检的可行和潜在的更安全的替代方案.
- 麻醉和技术的进步提高了TP活检的可行性,并降低了TP活检的感知成本/时间.
- TP活检提供了更好的诊断性能和安全性,解决了前列腺癌查中的关键挑战.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Serum Laboratory Studies, Stool Test, Breath Test
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...
Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
Upper GI Series: Barium Swallow
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...


