The Realisitic Value of Frozen Section in Intraoperative Decision Making In Malignancies – in The Public Sector in India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Frozen Section is an important tool in the armamentarium of the surgical oncologist. The value of frozen section in oncology is established well .However, in India , especially in the Public sector, it is available in very few centers. . Thus, this study aims to determine the realistic value of Frozen section in malignancies in the public sector.Frozen section of 179 samples from 120 cases were analysed. The most common indication for intraoperative evaluation was to assess suspicious nodes , accounting for 44.13%. Head and neck and gynecologic tumors were the most common indications for study, accounting for 57% of cases. 16 /179 samples were deferred for final histopathological analysis, giving a deferral rate of 8.9%.On comparison with paraffin block histopathology, the concordance and discordant rates of frozen section were 90.72% and 10.42% respectively. The sensitivity , specificity, positive predictive value and negative predictive value of frozen section were 80%, 95.2%, 90.56% and 89.2% respectively. Thus, it can be concluded that Frozen section is reliable and accurate for intraoperative evaluation of nodes , margin status and for the primary diagnosis of most tumors and it is feasible to run a reasonably accurate frozen section facility at the public sector.
Authors and Affiliations
Dr. Kavitha Sukumar MS. , Dr. Sivakumari Sivarajan MS.
Keywords
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- EP ID EP600153
- DOI 10.9790/0853-1603095458.
- Views 66
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