ACCURACY OF FROZEN-SECTION DIAGNOSIS IN SURGICAL PATHOLOGY - REVIEW OF A 1-YEAR EXPERIENCE WITH 24,880 CASES AT MAYO-CLINIC ROCHESTER

ACCURACY OF FROZEN-SECTION DIAGNOSIS IN SURGICAL PATHOLOGY - REVIEW OF A 1-YEAR EXPERIENCE WITH 24,880 CASES AT MAYO-CLINIC ROCHESTER
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DOI:
10.4065/70.12.1137
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发表时间:
1995-12-01
影响因子:
8.9
通讯作者:
BOSTWICK, DG
BOSTWICK, DG
中科院分区:
医学2区
文献类型:
--
作者:
FERREIRO, JA;MYERS, JL;BOSTWICK, DG

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目的:为了确定冷冻切片检查在外科病理学常规诊断中的准确性,设计:我们回顾性地回顾了1993年在马约诊所罗切斯特使用冷冻切片的经验,材料和方法:24,880个病例的结果1993年处理的97 914张冰冻切片与永久切片的结果进行了比较,检测到的错误类型被分为三个质量保证类别之一,结果:冷冻切片的总体准确率为97.8%,在2.2%需要修改的手术病理报告中,1.6%是不可避免的组织取样错误,0.5%的错误反映了异常程度的变化,只有0.1%的临床上有意义的错误,可能会影响病人的管理。结论:冷冻切片诊断是准确的处理大量的外科病理病例。
Objective: To determine the accuracy of frozen section examination for routine diagnostic use in surgical pathology,Design: We retrospectively reviewed the experience with frozen sections at Mayo Clinic Rochester during calendar year 1993,Material and Methods: The results in 24,880 cases (97,914 frozen section slides) processed during 1993 were compared with findings on permanent sections, and types of errors detected were classified into one of three quality assurance categories,Results: The overall rate of frozen section accuracy,vas 97.8%, Of the 2.2% of surgical pathology reports that needed revision, 1.6% were unavoidable tissue sampling errors, 0.5% were errors that reflected change in degree of abnormality, and only 0.1% were clinically significant errors that may have affected patient management,Conclusion: Frozen section diagnosis is accurate for processing a high volume of surgical pathology cases.