Role of frozen section in surgery of benign thyroid
<p><strong>Background:</strong> Fine-needle aspiration biopsy can very reliably discriminate between benign and malignant thyroid tumors. The role of additional intraoperative frozen section to guide intraoperative management was questioned.</p><p><strong>Methods:...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Slovenian Medical Association
2007-04-01
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| Series: | Zdravniški Vestnik |
| Subjects: | |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/1689 |
| Summary: | <p><strong>Background:</strong> Fine-needle aspiration biopsy can very reliably discriminate between benign and malignant thyroid tumors. The role of additional intraoperative frozen section to guide intraoperative management was questioned.</p><p><strong>Methods:</strong> A retrospective analysis of all thyroid resections at our department between 2000 and 2004 was performed.</p><p><strong>Results:</strong> 420 patients with benign thyroid lesions underwent surgical resections. 169 lobectomies and 251 total thyroidectomies were performed and 57 (13.5 %) thyroid cancers discovered (mostly papillary carcinomas). 54 frozen sections were performed and sensitivity rate of 11.1 % and specificity rate of 97.8 % was estimated.</p><p><strong>Conclusions:</strong> Our data supports the fact that intraoperative frozen section is not sensitive enough to substantially add to preoperative fine-needle aspiration biopsy, even with more selective use. We conclude that routine use of frozen section is not cost-effective in surgery of the benign thyroid and can therefore be abandoned.</p> |
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| ISSN: | 1318-0347 1581-0224 |