761 cases of breast lesions intraoperative frozen section and paraffin section diagnosis in comparison.docVIP

 PAGE \* MERGEFORMAT 8 761 cases of breast lesions intraoperative frozen section and paraffin section diagnosis in comparison Study: week of new wood, Yexin Qing, Sun Hongming, Zhou Li Fei, Gong Wei, Xu Shaojie [Abstract] Objective: To summarize the frozen section diagnosis of breast lesions and increasing diagnosis rate of diagnosis rate of the method, reduce the rate of delayed diagnosis and misdiagnosis. Methods: A retrospective analysis of 761 cases of breast lesions compared frozen sections and paraffin sections after the diagnosis, the main caused by delayed diagnosis and misdiagnosis of reasons. Results: 761 cases of frozen section diagnosis of cases, diagnosis was 97.4% (741/761, delayed diagnosis rate of 2.4% (18/761, mainly seen in the small duct carcinoma, mucinous carcinoma, ductal carcinoma in situ , intraductal papilloma and invasive lobular carcinoma cancer misdiagnosis rate was 0.3% (2 / 761, 2 cases were borderline phyllodes tumor misdiagnosed as fibroadenoma and benign phyllodes tumor. Conclusion: lack of awareness of the disease, frozen sections of poor quality, drawing not get to the main lesion, borderline and difficult to diagnose papillary lesion is caused by delayed diagnosis or misdiagnosis, physicians should be familiar with the pathological diagnosis of breast lesions and differential diagnosis, constantly sum up experience and lessons learned, closely strengthen links with the clinical and continuously improve the diagnosis rate. [Keywords:] breast lesions frozen section diagnosis of paraffin sections Conventional breast surgery using intraoperative frozen section diagnosis of breast disease, and time for clinicians to provide the best surgical program. However, more types of breast lesions, surgery is often not easy to make accurate diagnosis. In order to further improve the accuracy of frozen section diagnosis of breast lesions , now our hospital 761 cases of intraoperative frozen section diagnosis of breast materials w