BIOPSJA MAPPINGOWA (TPM/TTMB)

BIOPSJA MAPPINGOWA (TPM/TTMB)

Nieprzeczytany postautor: zosia bluszcz » 09 sie 2015, 02:03

BIOPSJA MAPPINGOWA (Template Prostate Mapping/TPM lub Transperineal Template-guided Mapping Biopsy /TTMB)

polega na pobraniu od 30 do 50 (czasem nawet 60) probek z prostaty przy uzyciu wzornika z otworami rozstawionymi co 5 mm przylozonego do perineum (czesc krocza miedzy moszna a odbytem). Zabieg odbywa sie w znieczuleniu ogolnym pod oslona antybiotykowa. Konieczna jest uprzednia enema.
Pacjent jest oczywiscie hospitalizowany (1-2 dni).


Ponizej opis tego, co dzieje sie przed, podczas oraz po biopsji mappingowej wykonywanej w amerykanskim osrodku nalezacym do NUADA Prostate Group:

Prostate Mapping, template prostate biopsy and MRI to accurately diagnose prostate cancer

What happens on the day of the procedure?


The procedure is carried out under general anaesthetic.
You will be admitted to hospital for 1 or 2 days depending on when during the day the procedure is scheduled.
You will be asked to not eat anything for at least 6 hours before the procedure and not drink anything for at least 4 hours before the procedure.
You will be given a phosphate enema 1 or 2 hours before hand to clear the back passage of faeces, so that the prostate can be scanned by the ultrasound clearly. You will be assessed by a Consultant Anaesthetist who will discuss the anaesthesia.
A plastic tube called a catheter is inserted through the penis into the bladder so that the water passage can be seen properly throughout the procedure and avoided. After the biopsies have been taken, the catheter is removed.

The procedure lasts for 30 to 45 minutes and involves taking 30-50 biopsies through the skin that lies in front of your back passage rather than through the back passage.
Antibiotics are given before the start of the procedure through a vein and antibiotic tablets and pain killers will be given for 7 days after the procedure.
A thick padding will be placed over the area of skin that the needle has gone through to prevent a lot of bruising. This padding should be left for at least 6 hours.


How are prostate mapping biopsies carried out?


Am ultrasound probe is inserted into the back passage and the prostate is scanned.
Using a grid with holes placed every 5mm, a biopsy needle is inserted through each hole and the prostate is sampled every 5mm.
Each biopsy we take is placed in a separate pot for a Consultant Histopathologist to examine each one separately under the microscope.
A report is given telling us whether each biopsy has cancer in it or not.
Other information is also given such as whether the tissue looked inflamed or whether there are other features such as precancerous areas in the prostate.

What are the potential side effects of prostate mapping biopsies?

Transperineal biopsies carry no extra risk than a normal prostate biopsy carried out through the rectum.

Complications of both include:
- bruising of skin in all men and occasionally bruising that spreads to the scrotum
- prostatitis (inflammation or infection of the prostate) in some men
- temporary discomfort or pain in the back passage area (most men)
- bloody urine for the first few hours to a maximum of 2 days in most men
- bloody semen in most men lasting for up to 3 months in a few men
- retention of urine requiring a temporary catheter (2-10 in 100)
- infection (requiring admission and intravenous antibiotics, 0-1 in 100)
- a few men have experienced temporary poorer erections

What happens after the procedure?

One of the doctors will call you on the day following your discharge from hospital to see how you are doing.
The prostate mapping biopsies results will be available in about 2-4 days.
You will be able to check your results on a secure online server, so that you can view your results immediately and print out a copy of the multisequence-MRI and the prostate mapping biopsies.
These reports will indicate where the cancer is, how much cancer and how aggressive it is by denoting the Gleason score of each focus and also tell you how many biopsies were positive in each location.

http://www.prostatemapping.com/prostatemapping.aspx




2 konkretne przypadki pacjentow poddanych biopsji mappingowej (z opisem i ilustracjami)

Prostate Mapping biopsies case studies
http://www.prostatemapping.com/cases.aspx



Oraz wideo:

zosia bluszcz
 
Posty: 11381
Rejestracja: 13 cze 2009, 02:06
Blog: Wyświetl blog (0)

Wróć do DIAGNOSTYKA RAKA PROSTATY

Kto jest online

Użytkownicy przeglądający to forum: Obecnie na forum nie ma żadnego zarejestrowanego użytkownika i 5 gości

logo zenbox