AB184. SOH24AB_059. The diagnostic accuracy of frozen section compared to final pathology section: a single centre experience in Cork University Hospital
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AB184. SOH24AB_059. The diagnostic accuracy of frozen section compared to final pathology section: a single centre experience in Cork University Hospital

Youssef Al-Mukhaizeem1, Hilal Al-Harthi1, Sharjeel Paul1, Paul Redmond1, Linda Feeley2

1Department of Endocrine Surgery, Cork University Hospital, Wilton, Co. Cork, Ireland; 2Department of Pathology, Cork University Hospital, Wilton, Co. Cork, Ireland

Background: The diagnostic accuracy of frozen section is an invaluable resource utilised in the management of surgical patients undergoing parathyroidectomy with primary hyperparathyroidism. In this study, we evaluated the diagnostic accuracy of frozen section over a 2-year period in a major training hospital in the South of Ireland.

Methods: A retrospective analysis of a prospectively maintained data base for all patients undergoing parathyroidectomy for primary hyperparathyroidism between August 2021 and August 2023 was conducted. The results were compared to the final pathology report to evaluate diagnostic accuracy of the frozen section.

Results: A total of 80 parathyroidectomies were performed over a 2-year period at Cork University Hospital. All frozen section specimens were evaluated for concordance with the final diagnosis. The overall accuracy of the frozen sections was 96.25% (77/80). A total of 3.75% (3/80) were discordant with the final pathological report.

Conclusions: Frozen section is a pivotal investigation relied upon in the intra-operative management of all patients undergoing parathyroidectomy. The results of our study highlight the accuracy of frozen section diagnosis in our institution in comparison to internationally published rates.

Keywords: Accuracy; discordance; frozen section; parathyroid surgery; pathology

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-24-ab184
Cite this abstract as: Al-Mukhaizeem Y, Al-Harthi H, Paul S, Redmond P, Feeley L. AB184. SOH24AB_059. The diagnostic accuracy of frozen section compared to final pathology section: a single centre experience in Cork University Hospital. Mesentery Peritoneum 2024;8:AB184.

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