동결절편법(Frozen Section) -외과병리 영역에서의 적용에 대하여-

Frozen Section -Application in the Surgical Pathology-

영남대학교 영남의료원 해부병리과에 최근 3년간 의뢰된 동결 절편 809예를 검토한 결과, 임파절, 위장관계, 피부의 순으로 많았으며, 동결절편 진단의 정확도는 진단연기 예(0.9%)를 포함하면 98.1%였고 위음성율은 0.5%였으며 위양성은 1예도 없었다. 위음성의 예는 임파절, 피부, 난소, 갑상선 각 1예였고 부정확한 진단 명기 및 grading error가 0.5%였다.

The frozen section technique is a means of intraoperative pathological diagnosis, and a procedure of great value to the surgeon. This method should be accurate, rapid and reliable. This method serves useful purposes, such as determining the presence of tumor, its type(especially whether it is benign or malignant), the adequacy of a biopsy of a suspected lesion, and the conditions of the surgical margins. But, it bears many disadvantages, the most of which is the danger of incorrect diagnosis. We studied the indications, the limitations, and the accuracy of the frozen section method and the materials studies was total of frozen section during recent 3 years. The overall accuracy of the frozen section diagnosis of 809 cases was 98.1% with 0.5% of false negative, 0% of false positive, 0.5% of incorrect histological diagnosis or grading errors, and 0.9% of deferred cases. The tissues submitted were lymph node, gastrointestinal tract, skin subcutaneous tissues in decreasing oder of frequency. The false positive case is not present, while the false negative cases were 4.