Spann C O, Kennedy J E, Musoke E
Emory University School of Medicine, Department of Pathology, Atlanta, Georgia.
J Natl Med Assoc. 1994 Feb;86(2):141-4.
A review of 313 intraoperative consultations and/or frozen section evaluations of neoplasms of the ovary was conducted. The intraoperative diagnosis of benign or malignant was compared with the diagnosis found at permanent section. Only six cases were deferred to permanent section. The overall accuracy was 93.9%. The sensitivity was 72.7%, and this was explained by the high proportion of borderline or low malignant cell tumors in this series. The specificity and predictive values were in excess of 95%. Thirteen cases were diagnosed incorrectly at intraoperative consultation. Eight of these were judged to be sampling errors, one was due to poor technical quality, and four were attributed to interpretation errors. Intraoperative consultation is, and should continue to be, a valuable tool in the evaluation of ovarian neoplasms.
对313例卵巢肿瘤的术中会诊及/或冰冻切片评估进行了回顾。将术中良性或恶性诊断与永久切片诊断进行比较。仅6例留待永久切片。总体准确率为93.9%。敏感性为72.7%，这是由于本系列中交界性或低恶性细胞肿瘤比例较高所致。特异性和预测值超过95%。13例在术中会诊时诊断错误。其中8例被判定为抽样误差，1例是由于技术质量差，4例归因于解释错误。术中会诊过去是、而且应该继续是评估卵巢肿瘤的一项有价值的工具。
