Biopsy Interpretation: The Frozen Section by Jerome B. Taxy, Aliya N. Husain, Anthony G. Montag

By Jerome B. Taxy, Aliya N. Husain, Anthony G. Montag

This new quantity of the Biopsy Interpretation Series is a pragmatic, fantastically illustrated consultant to the technical and interpretive facets of a frozen part. the point of interest is on use of the frozen part in intraoperative administration of sufferers, fairly people with tumors. The authors supply pathologists a radical wisdom of the software and boundaries of a frozen part, definitely the right conditions for doing one, the correct recommendations, and the translation and reporting of effects. The e-book beneficial properties greater than three hundred full-color gross and microscopic photos, with discussions of differential diagnosis.

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Extra resources for Biopsy Interpretation: The Frozen Section

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1999;52: 118–123. 3 INTRAOPERATIVE CONSULTATION IN GYNECOLOGIC PATHOLOGY ANTHONY G. MONTAG Specimens from the gynecologic organs are among the most common in surgical pathology. The major sources of intraoperative consultations are ovarian masses, hysterectomy specimens, and vulvectomy specimens for margins (1). In both the ovarian and uterine specimens, the frozen section diagnosis may direct the surgeon to perform lymph node dissection and other staging procedures, with the accompanying risk of increased morbidity and potential loss of fertility.

The predictive value of a negative count was 92%, which indicates that intraoperative neutrophil counts are a valuable test when infection is suspected in a prosthetic joint (15). 17 ______ 31 Neutrophilic infiltration of fibrous prosthetic joint capsule. 18 Neutrophils marginating in capillaries may result from manipulation during surgery and should not be counted in neutrophil counts. 32 ______ BIOPSY INTERPRETATION: THE FROZEN SECTION found better sensitivity by setting the criteria at an average of 1 or more neutrophils per high power field in a set of 10 fields (16).

The cytologic atypia is atypical for granulosa cell tumor, and is more consistent with undifferentiated carcinoma. INTRAOPERATIVE CONSULTATION IN GYNECOLOGIC PATHOLOGY ______ 41 compare nuclear detail. The clinical history will generally separate granulosa cell tumor from undifferentiated carcinoma. Ovarian Tumors in Pregnancy Ovarian lesions presenting in pregnancy reflect the tumors characteristic of the age group and the special functional tumor-like lesions that arise during pregnancy. The incidence of adnexal masses during pregnancy is variable, dependent on the use of imaging and the inclusion in studies of functional lesions that involute without being biopsied.

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