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BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY 1999年第7期106卷 623-632页

作者： Spencer, CP Whitehead, MI Department of Obstetrics and Gynaecology Farnborough Hospital Kent King's College Hospital London

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Histopathology of tissue samples removed using the microdebrider technique: Implications for endoscopic sinus surgery

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AMERICAN JOURNAL OF RHINOLOGY 2000年第1期14卷 27-32页

作者： Zweig, JL Schaitkin, BM Fan, CY Barnes, EL Univ Pittsburgh Dept Otolaryngol Head & Neck Surg Pittsburgh PA 15213 USA

Microdebriders are being used with increasing frequency in endoscopic sinus surgery to provide precise removal of soft tissue and bone with simultaneous suction and irrigation. To date, no one has analyzed whether histopathology of tissue processed through a microdebrider is maintained. Fifteen tissue samples (squamous cell cancer, esthesioneuroblastoma, lymphoma, sarcoma, inverted papilloma benign thyroid, and nasal mucosa) were processed though a microdebrider in various modes and speeds. Pathology slides were developed, coded, and presented as unknowns to the pathologist for diagnosis. Specimens taken fr-om routine biopsy techniques were then compared to those passed through the microdebrider. The study found no significant loss of morphologic features in the tissue passed through the microdebrider. The microdebrider may be used for both routine and oncologic procedures without altering the histopathology necessary for diagnosis.

关键词：活组织检查/仪器和设备活组织检查/方法内窥镜检查设备设计耳鼻咽喉肿瘤/诊断耳鼻咽喉肿瘤/病理学耳鼻咽喉肿瘤/外科学耳鼻喉外科手术/仪器和设备回顾性研究外科设备儿童人类

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Safety of a systematic endoscopic biopsy protocol in patients with Barrett's esophagus

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AMERICAN JOURNAL OF GASTROENTEROLOGY 2000年第5期95卷 1152-1157页

作者： Levine, DS Blount, PL Rudolph, RE Reid, BJ Univ Washington Dept Med Div Gastroenterol Seattle WA 98195 USA Univ Washington Dept Genet Seattle WA 98195 USA Fred Hutchinson Canc Res Ctr Div Publ Hlth Sci Program GI Oncol Seattle WA 98104 USA Fred Hutchinson Canc Res Ctr Div Human Biol Seattle WA 98104 USA

OBJECTIVE: Widespread implementation of rigorous, systematic endoscopic biopsy protocols for patients with Barrett's esophagus may be hindered by concerns about their safety. This report describes the safety experience of a large series of patients with gastroesophageal reflux disease and Barrett's esophagus who underwent such procedures. METHODS: Patients in the Seattle Barrett's Esophagus Project undergo biopsy surveillance in a research-based clinical setting, using large channel endoscopes and "jumbo" biopsy forceps. After visual inspection, multiple biopsies are obtained from lesions and at 1- to 2-cm intervals throughout the Barrett's esophageal segment. RESULTS: From 1983 to 1997, 1,458 consecutive endoscopies were performed on 705 patients and 50,833 biopsies (average, 35;maximum, 120 per procedure) were taken. Procedures lasted from 15 to 90 min during which one to two biopsies were obtained per minute. Eleven patients experienced 18 significant adverse events, five of which led to overnight hospitalizations: two for bleeding attributed to concomitant esophageal stricture dilation;two for cardiac dysrhythmias: and one for respiratory arrest. Events managed In outpatient settings included chest pain during seven endoscopies (all accounted for by two patients), chest or epigastric pain developing after five endoscopies, and one tonsillar abrasion. All patients recovered completely, and no deaths, perforations, aspiration, or esophageal stricturing resulted from the procedures. CONCLUSIONS: A rigorous, systematic endoscopic biopsy protocol in patients with Barrett's esophagus does not produce esophageal perforation or bleeding when performed by an experienced team of physicians, nurses, and technicians. (C) 2000 by Am. Cell. of Gastroenterology.

关键词： Barrett食管/并发症 Barrett食管/病理学活组织检查/仪器和设备活组织检查/方法内窥镜检查/方法食管肿瘤/诊断食管肿瘤/病因学食管/病理学人类

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Evolving technology for ultrasound localization and excision of nonpalpable breast cancer

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JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS 1999年第3期189卷 321-323页

作者： Bland, KI Rhode Isl Hosp Providence RI 02902 USA

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Initial experience with the advanced breast biopsy instrumentation system

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AMERICAN JOURNAL OF SURGERY 1999年第2期177卷 97-101页

作者： Matthews, BD Williams, GB Baylor Coll Med Dept Surg Houston TX 77030 USA NE Ohio Univ Coll Med Akron OH USA Akron City Hosp Dept Gen Surg Summa Hlth Syst Akron OH USA Akron City Hosp Judith A Resnick Ctr Womans Hlth Summa Hlth Syst Akron OH USA

BACKGROUND: Advanced breast biopsy instrumentation is a recently designed alternative to large-core stereotactic and open needle localized breast biopsies. This minimally invasive technique uses digital stereotactic imaging to perform excisional biopsies of suspicious, nonpalpable mammographic lesions. The role of the ABBI system in the management of breast cancer has not yet been defined. METHODS: A retrospective review to evaluate: the safety, accuracy, and cost effectiveness of the ABBI system as performed by a single surgeon on 107 patients from February 1, 1997 to January 31, 1998. We also discuss the use of the ABBI system as a therapeutic breast cancer technique. All patients had nonpalpable mammographic lesions. The mammographic abnormalities were either architectural distortion, microcalcifications, or stellate and nodular densities. RESULTS: Using the ABBI stereotactic unit, 110 breast biopsies were performed in 107 patients during a 12-month period. The mammographic abnormality was accurately localized and successfully biopsied in 99% (109 of 110) of the procedures as confirmed by specimen radiographs, stereotactic images, permanent pathologic sections, and 6-month follow-up mammograms. There were no intraoperative complications. Two patients developed postoperative wound hematomas and there was 1 postoperative wound infection. Six in situ cancers and 21 invasive cancers were diagnosed with the ABBI system., Two additional invasive cancers were diagnosed in patients with ductal carcinoma in situ at reexcision. Four patients with invasive ductal carcinoma and 1 patient with ductal carcinoma in situ had negative margins on their stereotactic biopsies and did not undergo reexcision by lumpectomy or mastectomy. Each of the 4 patients with Invasive ductal carcinoma underwent axillary Mode dissections with postoperative radiation therapy and chemotherapy or tamoxifen. During the study period, the average hospital patient charge for a stereotactic breast biopsy

关键词：活组织检查/仪器和设备乳房/病理学乳腺肿瘤/病理学乳腺肿瘤/放射摄影术设备设计评价研究乳房X线摄影术回顾性研究女(雌)性人类

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Differential bore sheath breast biopsy - a pilot study of a new technique

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BRITISH JOURNAL OF RADIOLOGY 2000年第865期73卷 10-13页

作者： Flanagan, JJ Conry, BG Bentley, PG Kent & Sussex Hosp Tunbridge Wells TN4 8AT Kent England

The increasing requirement for core biopsy in the diagnosis of early breast disease puts additional demands on radiologists' time and expertise. We present a new approach to percutaneous breast biopsy of impalpable lesions with core biopsy and simultaneous hook wire localization The technique allows accurate localization of breast lesions and is unique in that it facilitates simultaneous hook wire localization. Percutaneous biopsy by this method was accurate in 9 of 11 patients.

关键词：活组织检查/仪器和设备活组织检查/方法乳房/病理学乳腺疾病/病理学试点项目放射摄影术介入性敏感性与特异性女(雌)性人类男(雄)性

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TRANSVITREAL CHORIORETINAL BIOPSY IN RABBIT

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AMERICAN JOURNAL OF OPHTHALMOLOGY 1975年第1期79卷 25-38页

作者： GRIFFIN, JR STRAATSMA, BR KREIGER, AE UNIV CALIF SCH MEDJULES STEIN EYE INSTDEPT OPHTHALMOLLOS ANGELESCA 90024

Transvitreal chorioretinal biopsy was performed in 9 Dutch rabbits by introducing a biopsy instrument through a small eye wall incision, passing the instrument across the eye through the vitreous to the biopsy site, and by trephining and removing from the eye a 1.6 mm diameter specimen of the posterior eye wall. Biopsy was carried out under stereotaxic control by using a micromanipulator especially designed for ophthalmic surgery. Hemostasis was achieved by circumferential mechanical pressure around the biopsy site. The eye wall defect was sealed by a preplaced explant and repaired by fibrovascular ingrowth from the surrounding choroid and episclera. The normal histologic features of the biopsy specimen were preserved, except for separation of the neurosensory retina from the pigmented epithelium. Complications of the procedure included hemorrhage from the incision site, transvitreal strand formation, and lens abrasion. In no instance, however, did these complications result in significant opacification of the optical media. The biopsy technique has potential use as a clinical procedure in the diagnosis of choroidal tumors and other selected disorders of the choroid and retina and as a technique in investigational animal studies.

关键词：活组织检查/仪器和设备活组织检查/方法脉络膜/病理学脉络膜/外科学脉络膜肿瘤/病理学氰丙烯酸盐类显微操作视网膜/病理学视网膜/外科学弹性聚硅酮类立体定位技术玻璃体动物兔

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A complication during peroral small-bowel biopsy:: Perforation of the tubing by an inner metal guide wire

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SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY 2000年第8期35卷 894-894页

作者： Högberg, L Nordvall, M Stenhammar, L Linkoping Univ Norrkoping Hosp Dept Paediat SE-60182 Norrkoping Sweden

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关键词：腹痛/病因学活组织检查/仪器和设备活组织检查/方法乳糜泻/诊断设备失效随访研究小肠/病理学危险性评估儿童学龄前人类男(雄)性

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子宫内膜活检方法对子宫内膜癌手术前后诊断差异的影响

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实用肿瘤杂志 2008年第6期23卷 547-549页

作者：邹果芳胡红波邓郝男汕头大学医学院附属粤北人民医院妇科广东韶关512025 湖南省郴州市第一人民医院妇科湖南郴州423000

目的探讨子宫内膜活检方法对子宫内膜癌手术前后诊断差异的影响。方法回顾性分析136例术前诊断为子宫内膜癌患者的临床资料,包括术前临床分期、手术-病理分期、术后病理诊断。结果单纯分段诊刮术组(A组)70例手术前后病理诊断符合率82.9... 详细信息

目的探讨子宫内膜活检方法对子宫内膜癌手术前后诊断差异的影响。方法回顾性分析136例术前诊断为子宫内膜癌患者的临床资料,包括术前临床分期、手术-病理分期、术后病理诊断。结果单纯分段诊刮术组(A组)70例手术前后病理诊断符合率82.9,子宫腔镜辅助下分段诊刮术组(B组)66例手术前后病理诊断符合率92.4,两组比较差异有统计学意义;A组和B组手术前后分期诊断符合率比较差异有统计学意义。结论子宫腔镜辅助下分段诊刮术诊断子宫内膜癌安全、可靠,优于单纯分段诊刮术。

关键词：子宫内膜肿瘤/诊断子宫内膜/病理学宫腔镜检查活组织检查/仪器和设备刮宫术/方法

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The diagnosis of malign biliary obstruction with cholangiography-guided brush cytology

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AMERICAN JOURNAL OF GASTROENTEROLOGY 2000年第2期95卷 549-549页

作者： Kadayifci, A Erdil, A Uygun, A Bagci, S Dagalp, K Gulhane Mil Med Acad Dept Gastroenterol Ankara Turkey

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