Kagali V A
Surg Gynecol Obstet. 1983 Feb;156(2):168-70.
Frozen section diagnosis of a palpable mass in the breast provides a useful rapid histologic finding for the surgeon to make intraoperative decisions. A deferred diagnosis during frozen section, in a small number of instances, is necessary because of real histologic problems and too small lesions or too small sample size. The surgeon and the pathologist must each accept certain responsibilities if the patient is to receive the maximum benefit from the frozen section method. The surgeon should also realize that it is the pathologist who must decide if a given specimen can be frozen and interpreted satisfactorily or if it would be wise to wait for the permanent paraffin section. In this article, we have summarized our experience with frozen section diagnosis of palpable masses of the breast with an efficiency rate of 95 per cent at community hospitals. In our series of 158 palpable masses of the breast, 5 per cent were deferred for permanent sections. Our results are comparable with those of other published reports.
对乳腺可触及肿块进行冰冻切片诊断可为外科医生提供有用的快速组织学结果，以便其做出术中决策。在少数情况下，由于实际的组织学问题、病变过小或样本量过小，冰冻切片时需要延迟诊断。如果患者要从冰冻切片方法中获得最大益处，外科医生和病理学家都必须承担一定的责任。外科医生还应认识到，决定某个给定标本是否可以进行冰冻并得到满意的解读，或者等待永久石蜡切片是否明智的是病理学家。在本文中，我们总结了在社区医院对乳腺可触及肿块进行冰冻切片诊断的经验，有效率为95%。在我们的158例乳腺可触及肿块系列中，5%被延迟进行永久切片。我们的结果与其他已发表报告的结果相当。
