Health  Vol.4 No.7 , July 2012
Quality assessment of intraoperative frozen sections: An analysis of 261 consecutive cases in a resource limited area: Morocco
ABSTRACT
Purpose: To evaluate the accuracy and limits of a frozen section analysis in our department in order to develop a quality control. Materials and methods: all frozen sections reported at our department between 1st January 2010 and 31st December 2010, have been retrospectively evaluated. The frozen section results were compared to permanent paraffin section results. Results: Frozen sections and final diagnosis agreed in 95% and disagreed in 5% (13 cases), 6.6% of the cases were deferred (17 cases). The most common pathological processes encountered were presence/typing of neoplasm (85.4%) and assessment of surgical margins (7.3%). Conclusion: The accuracy of frozen sections diagnosis at our department can be interpreted as comparable with the most international quality control series and is valuable to assist surgeons in their decision.

Cite this paper
Chbani, L. , Mohamed, S. , Harmouch, T. , Fatemi, H. and Amarti, A. (2012) Quality assessment of intraoperative frozen sections: An analysis of 261 consecutive cases in a resource limited area: Morocco. Health, 4, 433-435. doi: 10.4236/health.2012.47068.
References
[1]   Saint-André, J.P., Donzel, J.P., Anger, E., Chatelet, F., Co- chand-Priollet, B., De Graeve, P., et al.. (1998) Recommandations de bonnes pratiques en anatomie et cytologie pathologiques. Document préparé par l’Association Fran?aise d’Asuurance Qualité en Anatomie et Cytologie Pathologiques (AFAQAP). Comission No 4: Organisation et fonctionnement des structures. Ann Pathol, 18, 227-236.

[2]   ?zdamar, S., Bahadir, B., Ekem, T., Kertis, G., Gün, B., Numanoelu, G., et al. (2006) Frozen section experience with emphasis on reasons for discordance. Turkish Journal of Cancer, 4, 157-161.

[3]   Winther, C. and Gr?m, N. (2011) Accuracy of frozen section diagnosis: A retrospective analysis of 4785 cases. Acta Pathologica, Microbiologica et Immunologica Scan- dinavica, 119, 259-262.

[4]   Geramizadeh, B., Larijani, T.R., Owji, S.M., Attaran, S.Y., Torabinejad, S., Aslani, F.S., et al. (2010) Accuracy of intraoperative frozen section consultation in south of Iran during four years. Indian Journal of Pathology and Microbiology, 3, 414-417. doi:10.4103/0377-4929.68250

[5]   Abbasi, F., Yekta, Z. and Aryan, A. (2012) Accuracy of Frozen sections. Iranian Journal of Pathology, 1, 3-8.

[6]   Zubair, A., Barakzai, M.A., Idrees, R. and Bhurgri, Y. (2008) Correlation of intraoperative frozen section consultation with the final diagnosis at a referral center in Karachi, Pakistan. Indian Journal of Pathology and Microbiology, 51, 469-473. doi:10.4103/0377-4929.43733

[7]   Wendum, D. and Fléjou, J.F. (2003) Evaluation qualita- tive des examens extemporanés dans un service hospitalouniversitaire: Analyse de 847 examens consécutifs. Annales de Pathologie, 23, 393-399.

[8]   Ferreiro, J.A., Myers, J.L. and Bostwick, D.J. (1995) Accuracy of frozen section diagnosis in surgical pathology: Review of a 1-year experience with 24,880 cases at Mayo Clinic Rochester. Mayo Clinic Proceedings, 12, 1137-1141. doi:10.4065/70.12.1137

[9]   Lerman, R.I. and Pitcock, J.A. (1972) Frozen section experience in 3.249 specimens. Surgery Gynecology & Obstetrics, 135, 930-932.

[10]   Saltzstein, S.L. and Nahum, AM. (1973) Frozen section diagnosis: Accuracy and errors; uses and abuses. Laryn- goscope, 83, 1128-1143. doi:10.1288/00005537-197307000-00017

[11]   Prey, M.U., Vitale, T. and Martin, S.A. (1989) Guidelines for practical utilization of intraoperative frozen sections. Archives of Surgery, 124, 331-335. doi:10.1001/archsurg.1989.01410030081013

[12]   Torp, S.H. and Skjorten, F.J. (1990) The reliability of frozen section diagnosis. Acta Chirurgica Scandinavica, 156, 127-130.

[13]   Howanitz, P.J., Hoffman, G.G. and Zarbo, R.J. (1990) The accuracy of frozen-section diagnoses in 34 hospitals. Archives of Pathology & Laboratory Medicine, 114, 355-359.

[14]   Bredahl, E. and Simonsen, J. (1970) Routine performance of intraoperative frozen section microscopy, with particular reference to diagnostic accuracy. Acta Pathologica et Microbiologica Immunologica Scandinavica Supplementum, 212, 104.

[15]   Oneson, R.H., Minke, J.A. and Silverberg, S.G. (1989) Intraoperative pathologic consultation. An audit of 1000 recent consecutive cases. The American Journal of Surgical Pathology, 13, 237-243. doi:10.1097/00000478-198903000-00009

[16]   Shrestha, S., Lee, M.C., Dhakal, H., Pun, C.B., Pradhan, M., Shrestha, S., Basyal, R. and Pathak, T. (2009) Comparative Study of frozen section diagnoses with histopathology. Post Graduate Medical of NAMS, 9, 1-5.

[17]   Folkerth, R.D. (1994) Smears and drozen sections in the intraoperative diagnosis of central nervous system lesions. Neuropathology, 5, 1-18.

 
 
Top