Evaluation of Intraoperative Frozen Sections: Experience in a Tertiary Care Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Aim: Intraoperative frozen section analysis play an important role in modern day surgical practice. The quality assurance of this technique is vital as it is a major tool in guiding the patient surgical management. The present study was conducted to evaluate the diagnostic accuracy of frozen section results and to find out the common reasons of misdiagnosis. Method: This is a retrospective study done by retrieving the data from frozen section and routine histology registers over a period of two years. Total 163 cases were received for frozen section analysis in that period. Out of these 2 cases were deferred and analysis was done on 161 cases. Results: Out of 163 cases, results were deferred in 2 cases for routine histology leading to a deferral of 1.23%. The diagnostic accuracy was found to be 90.68% with a false positive diagnosis of malignancy in 4.97% and false negative benign diagnosis in 2.49% cases. The major causes of misdiagnosis were found to be interpretation error (73.33%), followed by sampling error (20%) and scanty tissue for analysis (6.67%). The interpretation error was mostly due to the freezing artefacts. Conclusion: A thorough clinical and radiological knowledge, proper sampling and processing as well as interpretation by experienced pathologists are the prerequisites for accurate diagnosis in frozen section study.
Authors and Affiliations
Pranati Misra, Nageswar Sahu, Urmila Senapati
Keywords
Related Articles
- EP ID EP395580
- DOI 10.9790/0853-1709142428.
- Views 66
- Downloads 0
Prostaglandin E2 (PGE2) Level in the Gingival Crevicular Fluid (GCF) Of Sudanese Patient with Chronic Periodontitis
Background: The purpose of the present study was to evaluate the level of prostaglandin E2 in gingival Crevicular fluid of patients with chronic periodontitis. Material and Methods: Thirty patients diagnosed with chronic...
A Study of Maternal and Perinatal Outcome In Placenta Previa At A Tertiary Care Centre In Andhra Pradesh
Background: Placenta previa is one of the important causes of third trimester bleeding and maternal death. The objective of this study is to analyse the risk factors associated with placenta previa and its effect on mate...
“A Comparative study to estimate the efficacy of Diacerein and Diclofenac given alone or in combination to Osteoarthritic population with respect to pain alleviation and regaining joint function”.
Introduction: Osteoarthritis (OA) is a heterogeneous group of conditions that lead to joint symptoms and signs which are associated with defective integrity of articular cartilage, in addition to related changes in the u...
Cutaneous Zygomycosis by Syncephalastrum Recemosum: A Case Report.
Cutaneous wound infection due to zygomycosis (mucormycosis) is an uncommon presentation. We report a case of Syncephalastrum recemosum in an immunocompetant male after a Post Achilles Tendon repair . The patient was succ...
Tooth Agenesis; Aetiological Factors Abdulgani
Tooth agenesis is the most prevalent craniofacial congenital anomaly in humans. The term refers to an isolated disorder in the absence of non-dental phenotypes but is also used to describe the manifestation of missing te...