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題名 | Frozen-Section Diagnosis in Surgical Pathology: A Quality Assurance Study=外科病理中的冰凍切片診斷:品質管制研究 |
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作者姓名(中文) | 文美卿; 陳榮達; 何霖; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 13:9 1997.09[民86.09] |
頁次 | 頁534-539 |
分類號 | 415.13 |
關鍵詞 | 外科病理; 冰凍切片診斷; 品質管制; Frozen-section; Quality assurance; Accuracy; |
語文 | 英文(English) |
中文摘要 | 在品質管制研究中,將1995年七月到1996年六月送到本部連續一千四百四十三例冰凍切片作一個回顧,診斷正確率為92.6%,有68例 (4.7%) 暫緩診斷,惡性腫瘤的假陽性有2例(0.14%),假陰性有37例(2.56%)。 大部份的錯誤診斷發生在腦部,女性乳房和甲狀腺,診斷錯誤的原因可分為判讀 (71.8%),標本取材 (15.4%),和顯微鏡檢取材 (12.8%),有些病兆即使是石蠟切片也非常難以診斷。技術的熟練和診斷的經驗是診斷冰凍切片的基本要求。我們建議每個病理部門都應該定期做冰凍切片診斷正確率的調查以做為品質管制的一部份。 |
英文摘要 | In a quality assurance study we reviewed one thousand four hundred and forty-three consecutive frozen sections performed at department of pathology, VGH-TC from June 1995 to July 1996. The diagnostic accuracy was 92.6%. The diagnosis was deferred in sixty-eight cases (4.7%). False positive for malignant tumor was made in two cases (0.14%) and false negative diagnosis for malignancy in thirty-seven (2.56%). The inaccurate diagnosis was mainly in samples taken from the brain, female breast, and thyroid. Incorrect diagnoses were mainly due to interpretation of the pathologic findings (71.8%), followed by gross sampling (15.4%) and microscopic sampling (12.8%). Some of the lesions were difficult to diagnose even in permanent sections. Technical skill and diagnostic expertise are essential for frozen diagnosis. We suggest that an accuracy survey of frozen section be periodically performed in every pathology department as part of its quality assurance program. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。