肺针活检和肺切除:说明,患者管理和术后成像发现
Sharath K Bhagavatula1, Alexander Graur2, Florian J Fintelmann3
1Department of Radiology, Brigham and Women's Hospital, Dana Farber Cancer Institute, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Clinics in chest medicine
|May 30, 2024
概括
皮肤穿越胸腺针活检 (TTNB) 和切除正在推进肺部瘤的治疗. 本综述涵盖了转诊提供者的指示,患者管理和成像.
科学领域:
- 肺部病理学 肺部病理学
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
背景情况:
- 通过皮肤进行的跨甲状腺针活检 (TTNB) 和切除越来越多地用于肺瘤诊断和治疗.
- 这些程序的临床应用和技术正在迅速发展.
- 转介提供者需要更新的信息来优化患者护理.
研究的目的:
- 为转诊医生提供有关TTNB和肺瘤的切除术的重要信息.
- 概述这些微创手术的当前和新出现的症状.
- 详细介绍手术前后的患者管理以及预期的成像检查结果.
主要方法:
- 审查当前的文献和关于TTNB和肺瘤废除的指导方针.
- 综合有关手术指示,患者准备和后续情况的信息.
- 讨论典型的术后成像特征.
主要成果:
- 陈述了TTNB和消去的既定和新发现的适应症.
- 详细介绍了程序前评估和程序后护理的关键方面.
- 描述了常见的成像发现,包括预期的变化和潜在的并发症.
结论:
- TTNB和切除术为肺瘤管理提供了不断发展的微创手术选择.
- 了解程序指示和全面的患者管理对于成功的结果至关重要.
- 熟悉手术后成像技术有助于准确的解释和患者的随访.
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
187
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
187
Radiological Investigation III: Pulmonary Angiogram and PET Scan
91
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...
91
Radiological Investigation II: MRI and Ventilation Perfusion Scan
111
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
111
Endoscopic Studies II: Thoracocentesis
246
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
246
Radiological Investigation I: X-ray and CT
226
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
226
Imaging Studies for Cardiovascular System III: X-Ray
172
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
172


