Mallow John, Nielson Moretta, Jadhav Achal, Sridhar Shriya, Killeen Trevor, Tignanelli Christopher J, Linden Michael A, Li Faqian, Harmon James V
Department of Surgery, University of Minnesota, Minneapolis, USA.
Department of Surgery, St. John's Medical College, Bengaluru, IND.
Cureus. 2024 Aug 30;16(8):e68222. doi: 10.7759/cureus.68222. eCollection 2024 Aug.
Giant cell arteritis (GCA) is a systemic vasculitis of medium and large vessels that is diagnosed using temporal artery biopsy (TAB). In this case report, we explored the benefits of frozen section analysis as a rapid intraoperative diagnostic technique for GCA. We present the cases of two patients who underwent TAB with frozen section analysis, to demonstrate the value of this technique in initiating immediate treatment and potentially avoiding unnecessary contralateral biopsies when the frozen section of the first biopsy confirms GCA. We recommend further investigation into the use of frozen section analysis for patients suspected of having GCA, who might otherwise undergo bilateral TAB.
巨细胞动脉炎（GCA）是一种中大型血管的系统性血管炎，通过颞动脉活检（TAB）进行诊断。在本病例报告中，我们探讨了冰冻切片分析作为GCA快速术中诊断技术的益处。我们介绍了两名接受TAB并进行冰冻切片分析的患者病例，以证明该技术在启动即时治疗以及当首次活检的冰冻切片确诊为GCA时可能避免不必要的对侧活检方面的价值。我们建议对疑似患有GCA的患者进一步研究使用冰冻切片分析，否则这些患者可能需要接受双侧TAB。
