The Utility of Intraoperative Frozen Section Analysis for Ovarian Masses in Children and Adolescents

Abstract

Background: Preoperative risk stratification of ovarian masses remains a challenge given limitations of radiographic and serum tumor marker findings. Intraoperative frozen section (FS) analysis is not widely utilized as a tool for guiding intraoperative decision-making due to its limited predictive value in adults with ovarian masses. In the pediatric and adolescent populations, there is no standardization of the use of FS pathology, and its utility has yet to be determined. This study aims to describe current practice patterns and diagnostic accuracy of FS pathology for children and adolescents with ovarian masses.