The Accuracy of an Intraoperative Frozen Section for Premalignant Endometrial Pathology

Authors

DOI:

https://doi.org/10.21613/GORM.2019.935

Keywords:

Bleeding, Endometrium, Frozen, Hyperplasia, Section

Abstract

OBJECTIVE: Abnormal uterine bleeding which is the most frequent complaint among pre- and postmenopausal women should be investigated to rule out endometrial cancer. An intra-operative frozen section can be taken to examine the suspicious of the malignancy. The study aims to investigate the accuracy of frozen section in suspicious of endometrial malignancy.

STUDY DESIGN: Fifty patients with pre-malign endometrial pathology and malignant ultrasound characteristics were included in this study and their preoperative biopsy, frozen and postoperative pathological results were examined.

RESULTS: The kappa coefficient between postoperative pathology and frozen section was 0.88 (p<0.05) and 95% confidence interval was (0.63-1.12). This indicates that the amount of agreement between the two tests was strong, thus the frozen section would be considered as a valid indicator of postoperative pathology results.

CONCLUSIONS: Frozen section is a valuable method to investigate the suspicious of malignancy in endometrial pre-malign lesions.

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Author Biographies

Ergul Demircivi Bor, Istanbul Medeniyet University Goztepe Education and Research Hospital

Obstetrics and Gynecology Department

Esra Akdeniz, Marmara University, Faculty of Medicine

Division of Biostatistics

Yucel Nurettin Ceylan, Istanbul Medeniyet University Goztepe Education and Research Hospital

Obstetrics and Gynecology Department

Taner Gunay, Istanbul Medeniyet University Goztepe Education and Research Hospital

Obstetrics and Gynecology Department

Meryem Hocaoglu, Istanbul Medeniyet University Goztepe Education and Research Hospital

Obstetrics and Gynecology Department

Abdulkadir Turgut, Istanbul Medeniyet University Goztepe Education and Research Hospital

Obstetrics and Gynecology Department

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Published

2020-12-25

How to Cite

1.
Demircivi Bor E, Akdeniz E, Ceylan YN, Gunay T, Hocaoglu M, Turgut A. The Accuracy of an Intraoperative Frozen Section for Premalignant Endometrial Pathology. Gynecol Obstet Reprod Med [Internet]. 2020Dec.25 [cited 2021Apr.16];26(3):210-3. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/935

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Section

Gynecology and Gynecological Oncology

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