How accurate is intraoperative frozen section in the diagnosis of ovarian tumors?

Abstract

Frozen section diagnosis is of high quality at our center with a few exceptions in borderline category. The numbers of sections examined have a statistically significant influence on the accuracy of frozen section of ovarian masses.

The Evaluation of Intra-Operative Frozen Section Diagnosis Accuracy of Ovarian Tumors; Old Fashioned Not Out of Fashion

“…The diagnostic value of frozen section (accuracy, sensitivity, specificity, negative predictive value, positive predictive value) was summarized and presented in Table 5. Our data was compared to previous literature in other countries (Malipatil et al, 2013;Ayhan et al, 2016;Hashmi et al, 2016;Arshad et al, 2018). All data from previous Thai studies (Boriboonhirunsarn et al, 2004;Tangjitgamol et al, 2004;Wootipoom et al, 2006;Wasinghon et al, 2008;Suprasert et al, 2008) were summarized and presented as summary data in Table 5.…”

“…PPV of his study was equal to the PPV of our study when the frozen section results reported benign tumors. Reports from India, Bangladesh, and Malaysia showed similar PPV from frozen sections with suspected benign condition (Malipatil et al, 2013;Hashmi et al, 2016;Arshad et al, 2018). In the current study, there were 100 benign ovarian tumor cases from the frozen section reports.…”

“…The surgeon could do an aggressive surgical staging with an appropriate medical indication. Literature from India, Bangladesh, and Malaysia showed frozen sections reported malignancy with the PPV at nearly 100 percent (Malipatil et al, 2013;Hashmi et al, 2016;Arshad et al, 2018). For this reason, frozen section was widely accepted for the intraoperative malignancy evaluation.…”

“…The overall accuracy of frozen section examination from literature ranged from 83.7 to 99 percent (Malipatil et al, 2013;Ayhan et al, 2016;Hashmi et al, 2016;Arshad et al, 2018).…”

Role of Frozen Section in Intraoperative Assessment of Ovarian Masses: a Tertiary Oncology Center Experience.

“…A diagnostic tool which helps to identify various ovarian lesions with high degree of accuracy will help the surgeon to choose appropriate operating procedure [2,3]. Preoperative diagnostic modalities include serum tumor marker level estimation and imaging.…”