Lymph nodes biopsy: the method of performing the investigation and analyzing the results
Lymph node biopsy is sponsored by the lymph nodes biopsy is an invasive investigation during which a sample of the lymph node is taken one or more to examine carefully under the microscope. The performance of this biopsy is suggested when the previous tests cause the suspicion that the tissues are not intact, and often due to an enlarged lymphic lymph node or the suspicion of the spread of a cancerous tumor in the lymphatic system. There are different types of general biopsies among almost everyone, the use of a sharp tool to cut a piece of fabric, often enough suction with the needle is sufficient and then talks about the FNA – fine needle shaft. It is also possible that the biopsy of lymph nodes can sometimes be performed during surgery as part of the distribution of the cancerous crop. When is the examination performed? The most common indicator that the biopsy of the lymph nodes asks is to know the cause of the lymph node, which is sometimes accompanied by topical or hardening pain. That is, the biopsy of the lymph nodes is examined when there is doubt that there is an abnormal tissue in the lymph nodes. The biopsy of lymph nodes is also investigated by various tests that have not reached an accurate diagnosis, such as blood test and ultrasound. Another general indicator requires you to conduct this investigation is the need to verify whether there are metastases of cancer in the lymph nodes of cancer, which have arisen in another place in the body, as the presence of cancerous metal in the lymph nodes indicates the presence of a more serious and dangerous illness of the tumor, and a greater degree of distribution, which usually requires a different. The risk category. People with heart disease and lungs should inform the doctor before the examination, and the doctor should also be informed about taking certain medications such as blood thinners; Since the doctor may ask the patient to change or replace the drug during the days before the examination, it is important to know that it is absolutely desirable to conduct this examination for people with blood toll problems and repeated bleeding. It should be noted that the approval of the patient, in order to conduct this investigation, must be obtained by signing a special approval form if the person subjected to the examination is a minor who approves the parents. Related diseases include related diseases with this examination of the following: bacterial, viral or parasitic infection in lymphadnitis, for example: herpes. EBV -Barr -Virus. CMV (CMV – Cytomegalovirus). Cat – Scratch disease. Tuberculosis. The auto -immune infections that include: lupus (lupus) sarcodose. Kawasaki disease. Other diseases, especially the following: Lymphoma, Hodgkin’s lymphoma / non -hodgkin. Breast cancer. Digestion and other crops. How to perform the investigation if the biopsy is not taken under anesthesia, that is, during the operation, it is necessary to inject a substance for local anesthesia in the environment, and if a biopsy should be taken as part of a large surgical procedure, it is necessary to eat and drink according to the doctor’s instructions. During the investigation, it usually takes about 5-10 minutes, during which the scanning area is anesthetized by spraying anesthetics by injecting anesthetics to the skin around the area, it should be noted that the needle can cause tingling light pain. Then the doctor enter a needle with a special end with a thickness of about 3 – 4 millimeters to the lymph node, and with which a piece of fabric is drawn to the biopsy, then the investigation is inserted. If the biopsy of lymph nodes is taken during surgery, the patient is usually under total anesthesia and a few or a few dozen lymph nodes are taken from the surgery area and sent to microscopic examination, and is sometimes done in the context of the process itself, which means that the result of the investigation can affect the course of the operation itself. After investigating a simple biopsy of a metaphysical node, special problems are usually not expected, but if a bandage is placed, it should be left about 24 hours at the place where the investigation was performed and not moisturizing, and sometimes a minor bleeding can occur through another connection, it should be noted that it removes the open area. The doctor should be informed about any change that occurs after the lymph node biopsy, such as the following symptoms: Bleeding. Dizziness. Pain in the environment where the investigation was conducted. Warning medication that affects the investigation of the investigation should be informed about all the medications you are taking. Results -analysis usually shows the results of the lymph nodes within a week to two weeks, except for the biopapes taken during surgery itself and is called frozen portion. The right results of the biopsy of lymph nodes include the following: natural cells, sound size and shape in the lymph tissue and the absence of inflammatory cells or cancer cells in the tissue. No polluted factors grew on the farm of cultivation. The results include improper results for the lymph node biopsy on the following: abnormal cells, in terms of size or shape in lymphoma that arouse the suspicion as cancer cells of a primary lymphoma, called lymphoma. Abnormal cells in size or form in other tissues that are presumably of cancer cells of a main toumor in another place in the body, such as breast cancer, stomach cancer or others. The widespread spread of inflammatory cells and cells of the immune system, which is an indication of the presence of infection or inflammation in the tissue such as viral or bacterial infections and others. Note grains in tissues, which may indicate an auto -immune disease, such as sarcoid or others.