scholarly journals Frozen section analysis of margins for head and neck tumor resections: reduction of sampling errors with a third histologic level

2011 ◽  
Vol 24 (5) ◽  
pp. 665-670 ◽  
Author(s):  
Stephen M Olson ◽  
Mohammad Hussaini ◽  
James S Lewis
2011 ◽  
Vol 1 (2) ◽  
pp. 44-46 ◽  
Author(s):  
Nayla Matar ◽  
Georges Lawson ◽  
Marc Remacle ◽  
Marie-Cécile Nollevaux ◽  
Monique Delos ◽  
...  

ABSTRACT Objective Transoral laser microsurgery (TLM) for endoscopic excision of head and neck cancers of the upper aerodigestive tract has become an accepted treatment modality. As in any excision of head and neck tumors, the persistance of tumor at the surgical margins influences the outcome. One of the frequent criticisms of endoscopic resection is that the laser use makes interpretation of the surgical margins difficult due to the thermal effect. The goal of this study is to assess the reliability of frozen section after laser excision in locally advanced tumors. Methods The charts of patients with T2 and T3 tumors, who underwent TLM between January 2000 and 2008, using the CO2 laser AcuBlade system were reviewed. Frozen section margin results obtained during TLM were compared with margins after formalin fixation. Results Sixty-seven patients fulfilled the inclusion criteria. 20 had supraglottic tumors, 22 had oral cavity tumors, 13 had oropharyngeal tumors and 12 had hypopharyngeal tumors. Fifty-nine had no prior treatment, seven had prior radiation therapy and one had prior open surgery. The mean number of frozen margins per surgery was 4. Histological examination on the formalin-fixed tissue confirmed frozen section in 97% of the cases. In 3% of the frozen sections, the diagnosis of invasive carcinoma was missed. None of these patients had significant locoregional disease progression. Conclusion Frozen section analysis of margins is reliable during TLM when performed by an experienced team. It enables a one-stage approach reducing the need of a planned second procedure.


Head & Neck ◽  
2016 ◽  
Vol 38 (10) ◽  
pp. 1545-1552 ◽  
Author(s):  
Sandro Heuke ◽  
Olga Chernavskaia ◽  
Thomas Bocklitz ◽  
Fisseha Bekele Legesse ◽  
Tobias Meyer ◽  
...  

2013 ◽  
Vol 64 (3) ◽  
pp. 199-205
Author(s):  
Akiteru Maeda ◽  
Shunichi Chitose ◽  
Hirohito Umeno ◽  
Buichiro Shin ◽  
Takeharu Ono ◽  
...  

2017 ◽  
Vol 77 (23) ◽  
pp. 6538-6550 ◽  
Author(s):  
Dylan Z. Kelley ◽  
Emily L. Flam ◽  
Evgeny Izumchenko ◽  
Ludmila V. Danilova ◽  
Hildegard A. Wulf ◽  
...  

Author(s):  
S Mukherjee ◽  
J Abbaraju ◽  
G Russell ◽  
S Madaan

We report a 48-year-old fit and healthy woman who was incidentally diagnosed to have adenocarcinoma of gallbladder after laparoscopic cholecystectomy. Subsequent imaging showed no evidence of regional or distant spread. She was scheduled for elective laparotomy and resection of gallbladder bed, but during laparotomy frozen section analysis of an incidentally discovered peritoneal deposit confirmed metastasis, so the procedure was abandoned. Thereafter, she received cisplatin and gemcitabine chemotherapy. However, surveillance computed tomography incidentally noted a urinary bladder mass which had not been present before. Transurethral resection of the bladder lesion revealed moderately differentiated adenocarcinoma of urinary bladder. The appearance and immunoprofile of the lesion confirmed metastasis from the primary gallbladder cancer, which has not been documented in the literature to the best of our knowledge. Her disease progressed and she is being challenged with gemcitabine and carboplatin as second-line palliative chemotherapy. She is still alive two years after the initial diagnosis.


2012 ◽  
Vol 187 (4S) ◽  
Author(s):  
Yasuhiro Kakiuchi ◽  
Bonnie Choy ◽  
Jennifer Gordetsky ◽  
Guan Wu ◽  
Hani Rashid ◽  
...  

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