Intraoperative frozen section consultation- an audit in a tertiary care hospital
Journal Title: Indian Journal of Pathology and Oncology - Year 2018, Vol 5, Issue 3
Abstract
Introduction Frozen section FS helps the surgeon in the surgical management of the patient by helping in the intraoperative diagnosis of tumors margins and lymphnode assessment and organ identification Audits of the frozen section consultations help in identifying the pitfalls and to carry out appropriate preventive measures for its optimal usage We report the results of the study of our FS consultationsMaterials and Methods A retrospective study of 518 specimens from 132 consecutive cases of FS consultations was carried out The FS report and formalin fixed tissue reports were compared and analyzed The results were categorized into concordant discordant and deferred consultations Causes of discrepancy were analysed and diagnostic accuracy diagnostic error rates sensitivity specificity indications tissue type turnaround time and limitations were notedResults An average of 392 specimens per patient was received with 806061 males and 523939 females Age ranged from 15 to 80 years Male and female general surgical departments were the major contributors with 64 4848 and 25 1894 consultations respectively Oropharyngolaryngeal region 4884 was the main site sampled The main indication was margin status assessment 5227 Accuracy rate was 9865 with an error rate of 135 was observed The discordant cases had misinterpretation error in 5 cases and sampling errors in the remaining 2 cases Three cases 058 were deferred Sensitivity 9091 and specificity 9659 was obtainedConclusions The study turned out as a quality check and identified the areas requiring improvement to reduce the error rates Keywords Frozen section Retrospective study Accuracy Error Margin status Sensitivity
Authors and Affiliations
A. Sathish Selvakumar, V. Rajalakshmi, K. Meenakshi Sundaram
Keywords
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- EP ID EP475916
- DOI 10.18231/2394-6792.2018.0082
- Views 53
- Downloads 0
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Intraoperative frozen section consultation- an audit in a tertiary care hospital
Introduction Frozen section FS helps the surgeon in the surgical management of the patient by helping in the intraoperative diagnosis of tumors margins and lymphnode assessment and organ identification Audits of the froz...