تعريف
A biopsy is a procedure to remove a tissue sample. In a fine needle biopsy (FNB), fluid and cells are removed with a thin, hollow needle.
أسباب هذا الإجراء
This biopsy is used to evaluate organ or tumor tissue. The sample may show abnormal cells, disease, infection, or inflammation.
FNB may also be done to find out how certain treatments are working.
المضاعفات المحتملة
Complications are rare, but no procedure is completely free of risk. The potential complications will depend on the location of the biopsy. Your doctor will review a list of possible complications, which may include:
- نزيف
- Bruise where the needle was inserted
- Pain after the procedure
- العدوى
تشمل العوامل التي قد تزيد من خطر حدوث مضاعفات ما يلي:
- التدخين
- Medications that increase the risk of bleeding
ما يمكن توقعه
قبل الإجراء
Ask your doctor if there are any instructions you should follow before the procedure. Depending on the part of the body that the biopsy is being taken from, your doctor may ask you to:
- رتب لتوصيلة إلى المنزل.
- Have routine blood work.
التحدث مع طبيبك عن الأدوية الخاصة بك. قد يطلب منك التوقف عن تناول بعض الأدوية تصل إلى أسبوع واحد قبل العملية مثل:
- الأسبرين أو غيره من العقاقير المضادة للالتهابات
- مميعات الدم
Just before the test, you may be asked to drink a contrast material. This drink will make images clearer on x-rays or CT scans.
التخدير
Local anesthesia is often used. It will make the area numb. A sedative may also be used to help you relax.
وصف الإجراء
Your doctor may use images of the inside of your body to help guide the needle. This may be done with an ultrasound, x-ray, or computed tomography (CT) scan.
You will be positioned for the easiest access to the area for biopsy. The area where the needle will be inserted will be cleaned. Anesthesia will be applied to numb the area. You will be asked to stay still. A thin, hollow needle will then be inserted through the skin to the site. The needle may need to be inserted more than once. The images may be checked to make sure the needle is in the right place. After the needle is in the proper position, tissue or fluid will be withdrawn. You may feel a pinch, pressure, or nothing at all. After your doctor has the sample, the needle will be removed. The site will be bandaged.
كم من الوقت سيستغرق ؟
The length of procedure will depend on the site that is sampled:
- Simple biopsy of a site that is close to the surface of the skin: a few minutes in most cases
- Deeper biopsy or one that is guided by an ultrasound or CT scan: 30-90 minutes
هل سيكون هناك ألم؟
The amount of discomfort you feel depends on the part of the body that is being examined. The anesthesia and sedative will prevent pain. You may feel a pinch or pressure. If you feel pain, tell the doctor right away.
After the procedure, the site will be tender. Talk to your doctor about medication to help manage discomfort.
رعاية ما بعد العملية
Be sure to follow your doctor’s instructions . In general, you should take it easy and check the insertion site.
The sample will be examined by a specialist. The results are usually ready in a few days. Your doctor will talk to you about the results.
استدعاء الطبيب
بعد وصوله الى المنزل ، اتصل بطبيبك إذا كان أي من الحالات التالية:
- علامات الإصابة, بما في ذلك حمى وقشعريرة
- Pain, redness, swelling, heat, discharge, or a red streak in the area of the needle insertion
- السعال، ضيق التنفس، أو ألم في الصدر
- New symptoms develop
في حالة الطوارئ ، اتصل على المساعدة الطبية على الفور.