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Titolo:
Accuracy of frozen section for the operative management of endometrial cancer
Autore:
Quinlivan, JA; Petersen, RW; Nicklin, JL;
Indirizzi:
Univ Melbourne, Dept Obstet & Gynaecol, Parkville, Vic 3052, Australia Univ Melbourne Parkville Vic Australia 3052 arkville, Vic 3052, Australia Royal Hosp Women, Dept Obstet & Gynaecol, Brisbane, Qld, Australia Royal Hosp Women Brisbane Qld Australia naecol, Brisbane, Qld, Australia
Titolo Testata:
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY
fascicolo: 8, volume: 108, anno: 2001,
pagine: 798 - 803
SICI:
1470-0328(200108)108:8<798:AOFSFT>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
GYNECOLOGIC-ONCOLOGY-GROUP; MYOMETRIAL INVASION; STAGE-I; PREOPERATIVE ASSESSMENT; CERVICAL INVASION; CARCINOMA; ADENOCARCINOMA; DIAGNOSIS; DEPTH; ULTRASONOGRAPHY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Quinlivan, JA Univ Melbourne, Dept Obstet & Gynaecol, Parkville, Vic 3052,Australia Univ Melbourne Parkville Vic Australia 3052 3052, Australia
Citazione:
J.A. Quinlivan et al., "Accuracy of frozen section for the operative management of endometrial cancer", BR J OBST G, 108(8), 2001, pp. 798-803

Abstract

Objective To assess the accuracy of intra-operative frozen section reportsat identifying the features of high risk uterine disease compared with final histopathology. Design Retrospective study. Methods The records, of 460 patients with uterine cancer registered with the Queensland Centre for Gynaecological Cancer between January 1, 1996 and December 31, 1998 were reviewed. Intra-operative frozen section was undertaken in 260 patients with endometrial adenocarcinoma. Frozen section pathology was compared with the final histopathology reports. Inter-observer reliability was assessed using percentage agreement and kappa statistics. Clinical notes were also reviewed to determine if errors resulted in sub-optimal patient care. Results Respectively, tumour grade and depth of myometrial invasion were accurately reported in 88.6% of cases (expected 61.5%, Kappa 0.70) and 94.7%(expected 53.8%, Kappa 0.89). Errors were predominantly attributable to difficulties with respect to the interpretation of tumour grade. The error resulted in the patient receiving sub-optimal surgical management in only I Icases (5.3%)Conclusion Frozen section is accurate at identifying the features of high risk uterine disease in the setting of endometrial cancer and can play an important role in directing primary operative management.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/21 alle ore 16:16:56