Abstract
A prospective study was conducted on 60 specimens; 33 breast lumps and 27 lymph nodes, to assess the value of intraoperative imprint cytology as an aid in surgical decision especially in the absence of the facility of frozen section examination. Imprint cytological examinations were done intraoperatively by a single pathologist. The results were ready after a period of 15-25 minutes. In all 60 specimens, 50 (83%) were correctly diagnosed, 8 were diagnosed as suspicious of malignancy and 2 were misdiagnosed. The sensitivity was 97%, the specificity was 94.4% and the accuracy rate was 96.1%. We concluded that imprint cytology is a very simple technique and it remains a useful and cost effective tool, can aid in the surgical decision.
Highlights
Many patients undergoing surgery for tumour need intraoperative decision for selection of the optimal procedure
This study aims to asses the accuracy of imprint cytology of breast and lymph node lesions and to determine its value in intraoperative decision
Imprint cytology is a cytological diagnostic method used for intraoperative diagnosis of tumours
Summary
Many patients undergoing surgery for tumour need intraoperative decision for selection of the optimal procedure. Such decision results from the followings: Knowing the nature of the manipulated mass, is it benign or malignant?. Getting a primary result about the cytological status of the resected lymph nodes that drain the site of malignancy. These critical notes can be obtained by the use of the well known frozen section technique. This study aims to asses the accuracy of imprint cytology of breast and lymph node lesions and to determine its value in intraoperative decision
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