Accuracy of frozen section diagnosis in ovarian masses: experience at a tertiary oncology center

Archives of Gynecology and Obstetrics
Azadeh RakhshanMehdi Kazempour

Abstract

Accurate frozen section diagnosis is necessary for appropriate surgical management. In this study, we planned to determine the accuracy of frozen section diagnosis in our center and to study the factors which may influence the accuracy of frozen section diagnosis of ovarian tumors. In the present study, frozen section diagnosis of adnexal masses in 282 patients was compared with permanent section diagnosis as the gold standard. The overall accuracy of frozen section diagnosis was 95.7%. The sensitivity of frozen section diagnosis for benign, borderline and malignant lesions was 99, 60, and 92%, respectively. The tumor size in discrepant cases was larger than the concordant cases, however no association between mucinous histology and inaccurate diagnosis was found. The sensitivities of gross examination and clinical data in distinguishing benign from non-benign lesions were 93 and 70%, respectively. Frozen section is a reliable method for surgical management of patients with adnexal masses. Gross examination and clinical data are two valuable parts of intraoperative consultation.

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Citations

Aug 13, 2014·Indian Journal of Surgical Oncology·Renu SukumaranRema Prabhakaran Nair
Sep 17, 2011·Gynecologic Oncology·K K ShihR R Barakat
Dec 20, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Kerem Doga SeckinOzgur Akbayır
Apr 16, 2011·Gynecologic Oncology·Taejong SongByoung-Gie Kim
Aug 14, 2012·Diagnostic Cytopathology·Rachel Factor, Lester J Layfield
Sep 1, 2015·Annals of Diagnostic Pathology·Eleanor R McIntoshJennifer Gordetsky
Oct 21, 2016·Archives of Gynecology and Obstetrics·Stefan CosynsNikolaos P Polyzos
Oct 28, 2016·Expert Review of Molecular Diagnostics·Wanglei QuShi-Wen Jiang
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Feb 10, 2012·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·Mark K Heatley
Nov 23, 2019·Indian Journal of Ophthalmology·Md Shahid AlamBipasha Mukherjee
May 19, 2020·Gynécologie, Obstétrique, Fertilité & Sénologie·Caroline Eymerit-MorinMojgan Devouassoux-Shisheboran

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