Principles of Tissue Biopsy in Oral and Maxillofacial 口腔颌面部组织活检的基本原理.pptVIP

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Principles of Tissue Biopsy in Oral and Maxillofacial 口腔颌面部组织活检的基本原理.ppt

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Principles of Tissue Biopsy in Oral and Maxillofacial 口腔颌面部组织活检的基本原理

Principles of Tissue Biopsy in Oral and Maxillofacial Surgery Speaker: 黃傳貴大夫 Moderator:雷文天大夫 Examination Diagnostic Methods Health history History of the lesion Clinical examination Radiographic examination Laboratory investigation Biopsy Definition of Biopsy Removal of tissue from a living individual for diagnostic examination Indication for Biopsy Any lesion persists for more than 2 weeks with no apparent etiology basis Any inflammatory lesion that does not respond to local treatment after 10 to 14 days (that is,after removing local irritant) Indication for Biopsy Persistent hyperkeratosis changes in surface tissue (ex:lips or oral mucosa) Any persistent tumescence,either visible or palpable beneath relatively normal tissue Lesion that interfere with local function (ex:fibroma) Indication for Biopsy Bone lesions not specifically identified by clinical and radiographic finding Any lesion that has the characteristics of malignancy Characteristics of lesions that raise the suspicion of malignancy Erythroplasia—lesion is totally red or has speckled red appearance Ulceration—lesion is ulcerated or presents as an ulcer Duration— lesion has persisted more than 2 weeks Characteristics of lesions that raise the suspicion of malignancy Growth rate– lesion exhibits rapid growth Bleeding— lesion bleeds on gentle manipulation Induration– lesion and surrounding tissue is firm to the touch Fixation– lesion feels attached to adjacent structures Aspiration Biopsy Aspiration biopsy is the use of a needle and syringe to penertrate a lesion for aspiration of its content Indication of Aspiration Biopsy Aspiration should be carried out on all lesions thought to contain fluid or any intraosseous lesion before surgical exploration a fluctuant mass in the soft tissues should also be aspirated to determine its contents Any radiolucency in the bone of the jaw should be aspirated to rule out a vascular lesion that can cause life threatening hemorrhage Technique of Aspirat