某些切取活检在病变边缘进行的原因

颌面外科书上对于比如口腔黏膜病变,要求在病变与正常组织交界处进行切取活检。

之前的理解是可能需要正常组织与病变组织进行对照。最近看Cawson’s Essentials of Oral Pathology and Oral Medicine时,里面提到:

IMG_0284

即:

  1. Normal tissue inclusion is not for pathologists’ comparison: Pathologists do not necessarily need normal tissue for comparison because they are already familiar with the normal histological variations. Hence, including normal tissue for this reason is widely misunderstood.

  2. Prevent disintegration of the sample: Including normal tissue can help stabilize the biopsy sample, especially for lesions that are prone to disintegrate. This helps in keeping the sample intact for examination.

  3. Prove invasion of surrounding tissue by a malignant process: If there is suspicion of a malignant process, including normal tissue at the margin can help in determining whether the cancer has invaded surrounding tissues.

从病理医生角度出发的其他一些活检的tips包括:

other-tips-for-biopsy

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