The Accuracy of Frozen Section Biopsy in the Diagnosis of Gynecologic Tumors.

Noh, Heung Tae; Lee, Chang Hwan; Kim, Jin

Search: Korean J Obstet Gynecol Search

CLOSE

Original Article

Korean Journal of Obstetrics & Gynecology 1998;41(12):2952-2956.
Published online January 1, 2001.

The Accuracy of Frozen Section Biopsy in the Diagnosis of Gynecologic Tumors.

Heung Tae Noh, Chang Hwan Lee, Jin Kim

Abstract

OBJECTIVE
Frozen-section evaluation of gynecologic tumors has historically been used to establish a histopatholgic diagnosis and to guide surgeons in appropriate surgical procedure. this study is to assess the clinical appropriation and accuracy of frozen-section biopsy in gynecologic tumors. METHODS: This is a retrospective quality assurance study all of frozen-section biopsy done at Chungnam National University Hospital during a three year period (1995 to 1997). There were 125 cases out of 2310 surgical specimens for gynecologic tumors, and the results were compared with final diagnoses based on fixed tissue specimens. RESULTS: Frozen section biopsy was accurate in 95.2% of all cases, in 96.3% (104/108) of ovarian tumor cases, and in 88.2% (15/17) of uterine tumor cases. Analysis of 6 inaccuracy cases revealed that most cases were sampling errors and occurred in mucinous tumor, belonging to all cases of ovarian tumors. Sensitivity, specificity, positive predictive value, and negative predictive value of frozen-section biopsy in ovarian tumors were 0.94, 1.00, 1, 00, 0.97. CONCLUSION: Frozen section biopsy is an appropriate method as a basic guideline during operations of gynecologic tumors and this method can obtains the highest accuracy when there is cooperation between experienced surgeons and reliable and careful pathologists. The accuracy of frozen section diagnosis has important implications regarding the type and extent of the primary surgery for gynecologic tumors.

Key Words: Accuracy, Frozen section biopsy, Ovarian tumors, Uterine tumors

TOOLS

Full text via DOI
Download Citation

Share :

METRICS

673 View
10 Download

Related articles in Obstet Gynecol Sci

Appraisal of self sampling device in the diagnosis of cervical neoplasia.1991 August;34(8)

The value of colposcopy for early diagnosis of cervical cancer.1993 July;36(7)

Efficacy of Frozen Section Biopsy in the Diagnosis of Adnexal Neoplasms.1997 January;40(1)

The Current Trend in the Diagnosis and Management of Ectopic Pregnancy.1997 November;40(11)

Accuracy of Intraoperative Frozen Section Diagnosis in Clinical Stage I and II Endometrial Carcinoma.1998 May;41(5)

ABOUT

ARTICLE & TOPICS

Article category

Browse all articles >

Topics

Browse all articles >

BROWSE ARTICLES

POLICY

FOR CONTRIBUTORS

Editorial Office: 4th Floor, 36 Gangnam-daero 132-gil, Gangnam-gu, Seoul 06044, Korea.
Tel: +82-2-2266-7238 Fax: +82-2-3445-2440 E-mail: journal@ogscience.org