卵巢肿块冷冻切片诊断准确性:单中心研究

Q2 Medicine

Medical Journal Armed Forces India Pub Date : 2025-03-01 DOI:10.1016/j.mjafi.2023.08.011

Priyanka Goel , Samta Bali Rathore , Neha Sethi , Shagun Gupta , Abhishek Kalani

{"title":"卵巢肿块冷冻切片诊断准确性:单中心研究","authors":"Priyanka Goel , Samta Bali Rathore , Neha Sethi , Shagun Gupta , Abhishek Kalani","doi":"10.1016/j.mjafi.2023.08.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Ovarian mass is not an uncommon imaging finding in women of all age groups. Hence, frozen section plays a very important role in determining the nature of the mass and, thus, deciding the appropriate surgical procedure. In the present study, we aim to analyze the accuracy of frozen sections at our center in diagnosing benign, borderline, and malignant tumors.</div></div><div><h3>Methods</h3><div>A total data on 50 patients were collected who were operated between February 2020 and January 2022, and frozen sections were sent intraoperatively. The results were compared with the final histopathology report, and the accuracy, sensitivity, specificity, positive predictive value, and negative predictive value were analyzed for diagnosing benign, borderline, and malignant masses.</div></div><div><h3>Results</h3><div>The accuracy of frozen section analysis at our center was 90.0%. The sensitivity for diagnosing malignant tumors was 89.4%, with a specificity of 100%. For benign tumors, the sensitivity and specificity were 96.2% and 86.9%, respectively. Borderline tumors had the lowest sensitivity of 50.0% with specificity of 95.6%.</div></div><div><h3>Conclusion</h3><div>Intraoperative frozen sections are a very good and necessary tool for the identification of ovarian tumors<span>. It helps to prevent unnecessary extensive surgeries in benign tumors<span>, especially in young patients, and complete surgery in one sitting in cases of malignancy.</span></span></div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"81 2","pages":"Pages 151-156"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Diagnostic accuracy of frozen section in ovarian masses: A single centre study\",\"authors\":\"Priyanka Goel , Samta Bali Rathore , Neha Sethi , Shagun Gupta , Abhishek Kalani\",\"doi\":\"10.1016/j.mjafi.2023.08.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Ovarian mass is not an uncommon imaging finding in women of all age groups. Hence, frozen section plays a very important role in determining the nature of the mass and, thus, deciding the appropriate surgical procedure. In the present study, we aim to analyze the accuracy of frozen sections at our center in diagnosing benign, borderline, and malignant tumors.</div></div><div><h3>Methods</h3><div>A total data on 50 patients were collected who were operated between February 2020 and January 2022, and frozen sections were sent intraoperatively. The results were compared with the final histopathology report, and the accuracy, sensitivity, specificity, positive predictive value, and negative predictive value were analyzed for diagnosing benign, borderline, and malignant masses.</div></div><div><h3>Results</h3><div>The accuracy of frozen section analysis at our center was 90.0%. The sensitivity for diagnosing malignant tumors was 89.4%, with a specificity of 100%. For benign tumors, the sensitivity and specificity were 96.2% and 86.9%, respectively. Borderline tumors had the lowest sensitivity of 50.0% with specificity of 95.6%.</div></div><div><h3>Conclusion</h3><div>Intraoperative frozen sections are a very good and necessary tool for the identification of ovarian tumors<span>. It helps to prevent unnecessary extensive surgeries in benign tumors<span>, especially in young patients, and complete surgery in one sitting in cases of malignancy.</span></span></div></div>\",\"PeriodicalId\":39387,\"journal\":{\"name\":\"Medical Journal Armed Forces India\",\"volume\":\"81 2\",\"pages\":\"Pages 151-156\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical Journal Armed Forces India\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0377123723001454\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Journal Armed Forces India","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0377123723001454","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

卵巢肿块在所有年龄组的女性中并不罕见。因此，冷冻切片在确定肿块的性质，从而决定适当的手术程序方面起着非常重要的作用。在本研究中，我们的目的是分析本中心冷冻切片诊断良性、交界性和恶性肿瘤的准确性。收集了2020年2月至2022年1月期间手术的50例患者的总数据，并在术中发送冷冻切片。将结果与最终的组织病理学报告进行比较，分析诊断良性、交界性、恶性肿块的准确性、敏感性、特异性、阳性预测值、阴性预测值。本中心冷冻切片分析准确率为90.0%。诊断恶性肿瘤的敏感性为89.4%，特异性为100%。对于良性肿瘤，敏感性为96.2%，特异性为86.9%。交界性肿瘤的最低敏感性为50.0%，特异性为95.6%。术中冷冻切片是鉴别卵巢肿瘤的一种非常好的必要工具。它有助于防止良性肿瘤的不必要的广泛手术，特别是在年轻患者中，并在恶性肿瘤的情况下一次完成手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Diagnostic accuracy of frozen section in ovarian masses: A single centre study

Background

Ovarian mass is not an uncommon imaging finding in women of all age groups. Hence, frozen section plays a very important role in determining the nature of the mass and, thus, deciding the appropriate surgical procedure. In the present study, we aim to analyze the accuracy of frozen sections at our center in diagnosing benign, borderline, and malignant tumors.

Methods

A total data on 50 patients were collected who were operated between February 2020 and January 2022, and frozen sections were sent intraoperatively. The results were compared with the final histopathology report, and the accuracy, sensitivity, specificity, positive predictive value, and negative predictive value were analyzed for diagnosing benign, borderline, and malignant masses.

Results

The accuracy of frozen section analysis at our center was 90.0%. The sensitivity for diagnosing malignant tumors was 89.4%, with a specificity of 100%. For benign tumors, the sensitivity and specificity were 96.2% and 86.9%, respectively. Borderline tumors had the lowest sensitivity of 50.0% with specificity of 95.6%.

Conclusion

Intraoperative frozen sections are a very good and necessary tool for the identification of ovarian tumors. It helps to prevent unnecessary extensive surgeries in benign tumors, especially in young patients, and complete surgery in one sitting in cases of malignancy.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Medical Journal Armed Forces India Medicine-Medicine (all)

CiteScore

3.40

自引率

0.00%

发文量

206

期刊介绍： This journal was conceived in 1945 as the Journal of Indian Army Medical Corps. Col DR Thapar was the first Editor who published it on behalf of Lt. Gen Gordon Wilson, the then Director of Medical Services in India. Over the years the journal has achieved various milestones. Presently it is published in Vancouver style, printed on offset, and has a distribution exceeding 5000 per issue. It is published in January, April, July and October each year.