Akademik Veri Yönetim Sistemi
NEW TRENDS İN MEDİCİNE SCİENCES, cilt.2, sa.2, ss.98-104, 2021 (Hakemli Dergi)
Abstract: Intraoperative consultations (IOCs), which meet the urgent need
for diagnosis during an operation, are widely used for the management of
surgical operations. Inquiries that are most frequently made in IOCs include
the presence/absence of a mass, malignant-benign differentiation of the
mass. IOC is the most urgent and difficult area of pathology. Accurate
diagnosis rates and sensitivity and specificity values are important clinical
quality indicators. We aimed to evaluate the IOC data of our clinic in light
of the literature. The reports of IOCs requested from the Department of
Pathology of Ataturk University Faculty of Medicine between 2016 and
2020 and paraffin section (PS) reports of these tissues were retrospectively
analyzed. Both reports were compared. The results were classified as age,
gender, organ distribution, reason for IOC request, disagreement between
IOC and PS diagnoses, and paraffin follow-up. A total of 2.179 cases,
70.03% female and 29.97% male, were included in the study. In 94.81% of
the cases, diagnoses made during IOCs were confirmed by the PS
examination, 3.62% were deferred, and disagreement was observed between
IOC and PS examination in 2.5% of cases. In our study, the sensitivity was
95.7%, specificity 99.3%, positive predictive value 99.1%, and negative
predictive value 97.2%. The high agreement between IOC and PS diagnoses
is an important quality indicator. However, it is inevitable to avoid certain
technical and interpretation mistakes due to the nature of the process. In our
study, high accuracy, sensitivity and specificity values were observed in
accordance with the literature. © 2021 NTMS.
Keywords: Intraoperative Consultation; Frozen Section; Sensitivity;
Specificity; Accuracy.