在美国和CT指导下进行皮肤穿越管针前列腺活检
Maki Hirao1, Hideki Ishimaru2, Satomi Yoshimi2
1Department of Radiology Nagasaki University Hospital Nagasaki Japan.
IJU case reports
|July 3, 2025
概括
这份报告详细介绍了第一个通过皮肤进行的跨逆管性前列腺活检,该活检是在一个门塞的患者身上进行的. 这种新的技术成功地诊断出前列腺癌,当标准方法不可能时.
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.
- 医疗成像医学成像
背景情况:
- 通过直肠超声导向的前列腺活检是标准的,但在门狭窄的患者中是不可行的.
- 前列腺癌查包括前列腺特异性抗原 (PSA) 测试和数字直肠检查.
研究的目的:
- 描述一种新的皮肤穿透管性前列腺活检技术.
- 为了证明前列腺活检在患有跨直肠方法禁忌的患者中的可行性.
主要方法:
- 一名74岁的男性,有胆管切除和严重门狭窄病史,呈现PSA升高.
- 在跨腹部超声波和计算机断层扫描指导下进行了皮肤穿越性形前列腺活检.
- 病理学分析证实了前列腺腺癌.
主要成果:
- 通过皮肤进行的前列腺细胞活检成功完成.
- 诊断出前列腺腺癌.
- 这代表了这种活检技术的第一个记录实例.
结论:
- 通过皮肤进行的跨逆管性前列腺活检是当不能进行跨直肠活检时的可行的替代方案.
- 这种技术可以在具有挑战性的解剖学情况下诊断前列腺癌.
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