看看下麵，您的肺科手術醫生將計劃做何種方式的活檢。如果您想一步手術到位， 可做冰凍活檢，即時病理

Procedure overview

What is a lung biopsy?

A biopsy is a procedure performed to remove tissue or cells from the body for examination under a microscope. A lung biopsy is a procedure in which samples of lung tissue are removed (with a special biopsy needle or during surgery) to determine if lung disease or cancer is present.

A lung biopsy may be performed using either a closed or an open method. Closed methods are performed through the skin or through the trachea (windpipe). An open biopsy is performed in the operating room under general anesthesia.

The various biopsy procedures include:

Needle biopsy. After a local anesthetic is given, the doctor uses a needle that is guided through the chest wall into a suspicious area with computed tomography (CT or CAT scan) or fluoroscopy (a type of X-ray “movie”) to obtain a tissue sample. This type of biopsy may also be referred to as a closed, transthoracic, or percutaneous (through the skin) biopsy.

Transbronchial biopsy. This type of biopsy is performed through a fiberoptic bronchoscope (a long, thin tube that has a close-focusing telescope on the end for viewing) through the main airways of the lungs (bronchoscopy).

Thoracoscopic biopsy. After a general anesthetic is given, an endoscope is inserted through the chest wall into the chest cavity. Various types of biopsy tools can be inserted through the endoscope to obtain lung tissue for examination. This procedure may be referred to as video-assisted thoracic surgery (VATS) biopsy. In addition to obtaining tissue for biopsy, therapeutic procedures, such as the removal of a nodule or other tissue lesion may be performed.

Open biopsy. After a general anesthetic is given, the doctor makes an incision in the skin on the chest and surgically removes a piece of lung tissue. Depending on the results of the biopsy, more extensive surgery, such as the removal of a lung lobe may be performed during the procedure. An open biopsy is a surgical procedure and requires a hospital stay.

Intra-operative consultation (frozen section)
Sometimes a surgeon needs information about a tissue sample during surgery to make immediate
surgical decisions. If the surgeon cannot wait the day or more that it will take for routine
processing and histology, he or she will request an intra-operative (during surgery) pathology
consultation. This is often called a frozen section exam.

所有跟帖： 

• 您想一步完成手術，肺科手術也是常有的。醫生在手術台上等著，取下活檢立即送冰凍病理檢查，幾十分鍾後就出病理報告。 -禦用文人- ♀ (0 bytes) () 11/16/2014 postreply 10:23:47

• 如果冰凍活檢病理報告為癌症，立刻繼續手術，將癌腫和部份肺葉切除。這要與醫生商量，您是否適合這樣做。 -禦用文人- ♀ (0 bytes) () 11/16/2014 postreply 10:26:29

• 這種叫刨腹探查，一般用於不得不切的疑似良性腫瘤，切開後快速活檢，如果良性是一種切法，如果惡性就要周圍淋巴結清除等。腫瘤外科手術是 -愛吃甜食- ♀ (33 bytes) () 11/16/2014 postreply 10:45:55

• 手術中冰凍活檢不是適用於所有病例，一般用於腫塊在肺外周（肺邊緣）的病例，不適於靠近肺門附近（即中心型）腫塊。 -三江水- ♂ (202 bytes) () 11/16/2014 postreply 10:25:35

• 說得對！有人適合，有人不適合。。。希望這位患者適合這樣的手術計劃。 -禦用文人- ♀ (0 bytes) () 11/16/2014 postreply 10:29:28

• 是不是邊緣部的腫塊，支氣管鏡沒法做活檢，才有了刨胸探查。現在有CT guide 的biopsy，應該會損傷小一點。 -betadine- ♀ (0 bytes) () 11/16/2014 postreply 12:37:25

• 大概差不多。邊緣部的腫塊支氣管鏡沒法做活檢。 其實肺腫塊部分切除（送冰凍切片檢查）的“切除術”不用 “剖胸”。 -三江水- ♂ (358 bytes) () 11/16/2014 postreply 15:10:36

• 知道了，那麽LZ 下周的活檢還不順利的話，接下來就應該是微創手術了，當然病人得同意做才行。 -betadine- ♀ (0 bytes) () 11/16/2014 postreply 15:58:39