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Intraoperative Consultation Quality Assurance
Quality assurance of intraoperative consultation (IOC) is typically part of a larger quality assurance (QA) plan for anatomic pathology or surgical pathology (Nakhleh and Fitzgibbons, 2005; Lester, 2006). Even though IOC is an integral part of surgical pathology, in most…
Biospecimen Collection During Intraoperative Consultation
Infrastructure for Biospecimen Collection Intraoperative Consultation as A Site for Collection In this chapter we evaluate opportunities for the collection of biospecimens during intraoperative consultation (IOC). Because the majority of consultations occur in the context of cancer surgeries, we will…
Intraoperative Consultation During Orthopedic Surgery
Tumors of bone and soft tissue invariably require clinical history and radiologic evaluation for definitive diagnosis. Increasingly, core needle biopsy (CNB) is the primary method for obtaining tissue for diagnosis due to advancement of intraprocedural imaging techniques, safety, and cost…
Frozen Section Diagnosis in Transplantation Pathology
Introduction Frozen section performance in the transplant setting is dominated by evaluation of donor organs to assess suitability for transplantation. Knowledge regarding certain clinical aspects of the donor is valuable, and this will be addressed first. We will then focus…
Intraoperative Consultation During Gynecologic Pathology (Vagina, Vulva, Uterine Cervix, and Corpus)
In this chapter we review a practical approach to intraoperative frozen section and highlight the role of the pathologist in guiding intraoperative decision making. For convenience sake, we use the term “frozen section,” but at the onset we wish to…
Frozen Section in Gynecologic Pathology (Ovary, Fallopian Tube, and Peritoneum)
Pelvic lesions are submitted for frozen-section intraoperative determination of the nature of an ovarian, fallopian tube, or peritoneal mass or lesion. Those frozen sections usually have very important implication for management because most are submitted for evaluation with clinical suspicion…
Intraoperative Consultation During Urologic Surgery
Intraoperative and frozen section analyses are relatively uncommon for genitourologic surgery with about 5.4% of all urologist-generated specimens at our institution being submitted for intraoperative consultation (IOC). General indications include: 1) evaluation of resection margins, 2) diagnosis or classification of…
Intraoperative Consultation During Breast Surgery
Incorporation of routine intraoperative assessment of axillary sentinel lymph node and breast tissue is feasible at most breast surgery centers and may result in significant clinical benefit to the patient. The use of intraoperative frozen section is reported to reduce…
Intraoperative Consultation During Liver Surgery
Introduction Liver frozen sections, like frozen sections in general, are required when the results stand to alter the course of the surgical procedure. Indications for frozen section examination can be divided into four major categories: 1. Evaluation for possible metastatic…