Department of Interventional Therapy, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Committee of Chinese Society of Interventional Oncology, China Anti-Cancer Association, Tianjin, China.
Thorac Cancer. 2018 Nov;9(11):1530-1543. doi: 10.1111/1759-7714.12849. Epub 2018 Sep 17.
Biopsy has been used to diagnose thoracic diseases for more than a century. Percutaneous needle biopsy plays a crucial role in the diagnosis, staging, and treatment planning for tumors in the lungs, thoracic wall, hilum, and mediastinum. With the continuous improvement in imaging techniques, the range of clinical applications for percutaneous needle biopsy is also expanding. It has become important to improve Chinese professionals' and technicians' understanding of percutaneous transthoracic needle biopsy (PTNB) in order to standardize operating procedures and to strengthen perioperative management. However, there is currently no Chinese expert consensus that provides systematic standardization and guidance for PTNB in clinical practice. The Committee of Chinese Society of Interventional Oncology (CSIO) of the Chinese Anti-Cancer Association (CACA) initiated a Chinese multidisciplinary expert consensus on PTNB. The consensus includes image-guided methods, indications, contraindications, multidisciplinary team recommendations, biopsy procedures, daytime/outpatient biopsy, complications, pathological examination, and management of negative results.
活检在诊断胸部疾病方面已经使用了一个多世纪。经皮穿刺活检在肺部、胸壁、肺门和纵隔肿瘤的诊断、分期和治疗计划中起着至关重要的作用。随着影像学技术的不断提高,经皮穿刺活检的临床应用范围也在不断扩大。为了规范操作流程,加强围手术期管理,提高中国专业人员和技术人员对经皮经胸穿刺活检(PTNB)的认识非常重要。然而,目前还没有中国专家共识为临床实践中的 PTNB 提供系统的规范化和指导。中国抗癌协会介入微创治疗专业委员会(CSIO)启动了一项关于 PTNB 的多学科中国专家共识。该共识包括影像学引导方法、适应证、禁忌证、多学科团队建议、活检程序、日间/门诊活检、并发症、病理检查以及阴性结果的管理。