莫氏显微外科手术的组织学准确性。
Histologic Accuracy of Mohs Micrographic Surgery.
作者信息
Highsmith James T, Highsmith M Jason, Monheit Gary D
机构信息
Department of Dermatology (111H), James A. Haley Veterans' Administration Hospital, Tampa, Florida.
Callahan Eye Hospital, University of Alabama at Birmingham, Birmingham, Alabama.
出版信息
Dermatol Surg. 2018 Mar;44(3):350-353. doi: 10.1097/DSS.0000000000001352.
BACKGROUND
Mohs micrographic surgery enables the surgeon to maximize tumor removal while minimizing the amount of tissue being removed using advanced mapping techniques combined with microscopy. Interpretation of frozen section slides is vital to the success of Mohs micrographic surgery.
OBJECTIVE
Evaluate and confirm the congruence of frozen section slide interpretation between fellowship-trained Mohs surgeons and dermatopathologists.
METHODS
Retrospective cohort concordance study spanning 10 years (n = 1,720 cases).
RESULTS
The concordance rate for frozen slide interpretation between fellowship-trained Mohs surgeons and dermatopathologists in this study was 99.5%.
CONCLUSION
This study demonstrates agreement between the interpretation of histologic frozen section slides when evaluated by fellowship-trained Mohs surgeons and dermatopathologists.
背景
莫氏显微外科手术使外科医生能够运用先进的绘图技术结合显微镜检查，在最大限度切除肿瘤的同时，尽量减少切除的组织量。冰冻切片的解读对莫氏显微外科手术的成功至关重要。
目的
评估并确认接受过专项培训的莫氏外科医生与皮肤病理学家对冰冻切片解读的一致性。
方法
一项为期10年的回顾性队列一致性研究（n = 1720例）。
结果
在本研究中，接受过专项培训的莫氏外科医生与皮肤病理学家对冰冻切片解读的一致率为99.5%。
结论
本研究表明，接受过专项培训的莫氏外科医生和皮肤病理学家在评估组织学冰冻切片时解读意见一致。
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