Grabski W J, Salasche S J, McCollough M L, Berkland M E, Gutierrez J A, Finstuen K
Department of Dermatology, Brooke Army Medical Center, Fort Sam Houston, TX 78234.
J Am Acad Dermatol. 1989 Apr;20(4):670-4. doi: 10.1016/s0190-9622(89)70080-3.
The ability of the Mohs surgeon to interpret frozen sections generated during Mohs surgery has been questioned recently. In this study 1000 Mohs micrographic slides were interpreted by a Mohs surgeon and subsequently by a general pathologist. The disputed slides were then reviewed independently by two Mohs surgeons, two pathologists, and a dermatopathologist. Overall, there was a 98.9% agreement in interpretation among the Mohs surgeons, the pathologists, and the dermatopathologist. Results would indicate that a well-trained and experienced Mohs surgeon is competent to interpret slides prepared under his or her supervision during Mohs surgery.
最近，莫氏外科医生解读莫氏手术过程中生成的冰冻切片的能力受到了质疑。在本研究中，1000张莫氏显微切片先由一位莫氏外科医生进行解读，随后由一位普通病理学家解读。然后，两位莫氏外科医生、两位病理学家和一位皮肤病理学家对有争议的切片进行独立复查。总体而言，莫氏外科医生、病理学家和皮肤病理学家在解读上的一致性为98.9%。结果表明，训练有素且经验丰富的莫氏外科医生有能力解读在其监督下在莫氏手术期间制备的切片。
