2017
DOI: 10.1016/j.oooo.2016.11.018
|View full text |Cite
|
Sign up to set email alerts
|

Intraoperative gross examination vs frozen section for achievement of adequate margin in oral cancer surgery

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

1
38
0

Year Published

2019
2019
2023
2023

Publication Types

Select...
5

Relationship

0
5

Authors

Journals

citations
Cited by 42 publications
(39 citation statements)
references
References 24 publications
1
38
0
Order By: Relevance
“…Importantly, they found no survival benefit when re‐resection was undertaken to address a positive FS margin . Other studies have similarly challenged whether FS analysis yields any value over gross examination‐guided resections in OSCC, citing the lack of improvements in LR or OS when re‐resection is undertaken (Table ) …”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Importantly, they found no survival benefit when re‐resection was undertaken to address a positive FS margin . Other studies have similarly challenged whether FS analysis yields any value over gross examination‐guided resections in OSCC, citing the lack of improvements in LR or OS when re‐resection is undertaken (Table ) …”
Section: Resultsmentioning
confidence: 99%
“…Strategies for assessing the completeness of resection have undergone little development in recent decades, with frozen section (FS) histopathologic analysis being the mainstay for intraoperative assessment. However, FS has failed to show an impact on regional control or an improvement in survival . Frozen section has also been estimated to have a cost–benefit ratio as high as 20:1, with an average cost of nearly $3123 per patient .…”
Section: Introductionmentioning
confidence: 99%
“…For oral cavity tumors, a 1 cm margin is preferable, but also preserving surrounding neurovascular anatomy, when possible, in order to allow for optimal functional rehabilitation. 27 Therefore, when limited in resources, consideration should be given to prioritize frozen margins to early stage and salvage/recurrent cancer operations as they derive the most benefit from access to frozen margins. The ultimate goal is negative final margins which is defined as >5 mm on permanent pathology.…”
Section: Surgical Management Of the Primary Tumormentioning
confidence: 99%
“…26 If frozen section margins are not available, gross examination ensuring a relaxed soft tissue margin of 0.7 cm around the abnormal tissue has been shown to be similar to the use of frozen section with regards to achieving negative final margins, the number of close margins and overall survival. 27 Therefore, when limited in resources, consideration should be given to prioritize frozen margins to early stage and salvage/recurrent cancer operations as they derive the most benefit from access to frozen margins. 28…”
Section: Surgical Management Of the Primary Tumormentioning
confidence: 99%
“…The possibility that the examined areas will not encompass microscopic foci of neoplastic cells beyond the gross margin is significantly high, thereby leading to close/positive margins and decreased recurrence-free survival. 8,9 We wish to gain an improved understanding of the rationale leading to the change in philosophy for such early T-stage tongue tumors, in order to effectively apply these principles to routine practice. While a reproducible technique will aid in training upcoming surgeons and also standardize reconstruction, this is the larger question that lies ahead of surgical community to decide for future generations to follow.…”
mentioning
confidence: 99%