Ovarian intraoperative consultation: A 5-year study on diagnostic concordance of 657 cases

IF 3.2 4区医学 Q2 PATHOLOGY

Pathology, research and practice Pub Date : 2025-07-23 DOI:10.1016/j.prp.2025.156142

Christopher Felicelli , Olivia W. Foley , Steven Smith , Emily Hinchcliff , Luis Z. Blanco Jr

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Abstract

Diagnostic accuracy is critical in the assessment of ovarian lesions at the time of intraoperative consult (IOC), as surgical decision making is greatly affected by the type of diagnosis rendered. In this study, we aimed to assess the diagnostic accuracy of ovarian IOC at a major academic center over a 5-year period. A total of 657 cases of ovarian lesions were included within the study. The overall accuracy of diagnosis by biological behavior was 94.2 %, and the sensitivity of IOC diagnosis was 98.7 %, 88.5 %, and 87.1 % for benign, borderline, and malignant categories, respectively. Major diagnostic errors were predominantly secondary to sampling errors, with mucinous tumors posing a challenge with frequent upgraded diagnosis. While the assessment of ovarian IOC has been assessed in the past, our study incorporates high case volumes with subsequent diversity of neoplastic lesions encountered at a major tertiary academic center. This study continues to emphasize the importance of ovarian IOC, the overall high accuracy rate, and the dependence on IOC to guide clinical colleagues.

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卵巢术中会诊657例5年诊断一致性分析

在术中咨询（IOC）时，诊断的准确性对于评估卵巢病变至关重要，因为手术决策很大程度上受到诊断类型的影响。在这项研究中，我们旨在评估一个主要学术中心在5年期间卵巢IOC的诊断准确性。共有657例卵巢病变纳入研究。生物行为诊断的总体准确率为94.2 %，对良性、交界性和恶性分类，IOC诊断的敏感性分别为98.7 %、88.5 %和87.1 %。主要的诊断错误主要是继发于采样错误，粘液性肿瘤对频繁升级的诊断提出了挑战。虽然卵巢IOC的评估在过去已经被评估过，但我们的研究纳入了在一个主要的三级学术中心遇到的高病例量和随后的肿瘤病变多样性。本研究继续强调卵巢IOC的重要性，整体的高准确率，以及依赖IOC来指导临床同仁。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pathology, research and practice 医学-病理学

CiteScore

5.00

自引率

3.60%

发文量

405

审稿时长

24 days

期刊介绍： Pathology, Research and Practice provides accessible coverage of the most recent developments across the entire field of pathology: Reviews focus on recent progress in pathology, while Comments look at interesting current problems and at hypotheses for future developments in pathology. Original Papers present novel findings on all aspects of general, anatomic and molecular pathology. Rapid Communications inform readers on preliminary findings that may be relevant for further studies and need to be communicated quickly. Teaching Cases look at new aspects or special diagnostic problems of diseases and at case reports relevant for the pathologist''s practice.