Malignant eyelid tumors: Are intra-operative rapid frozen section and permanent section diagnoses of surgical margins concordant?
- 70 Downloads
To study the concordance between intra-operative rapid frozen section and permanent section diagnoses of surgical margins following wide surgical excisional biopsy of malignant eyelid tumors.
This is a retrospective study of 120 cases and 429 frozen section slides.
Of 120 cases, 75 (63%) had sebaceous gland carcinoma, 34 (28%) had basal cell carcinoma, and 11 (9%) had squamous cell carcinoma. All cases with these malignant eyelid tumors underwent wide surgical excisional biopsy under frozen section control of surgical margins. A total of 429 frozen section slides were reviewed for rapid frozen section diagnosis. Eyelid reconstruction was performed in all cases after clearance was obtained by rapid frozen section diagnosis of surgical margins as negative for tumor infiltration. Permanent section diagnosis of surgical margins was positive for tumor infiltration in 5 (1%) slides, which were reported as negative on rapid frozen section diagnosis of surgical margins, and was negative for tumor infiltration in 3 (< 1%), which were reported as positive on initial rapid frozen section diagnosis of surgical margins. The sensitivity, specificity, and accuracy of intra-operative rapid frozen section diagnosis of surgical margins for malignant eyelid tumors were 89%, 99%, and 98%, respectively.
The concordance between the intra-operative rapid frozen section and permanent section diagnoses of surgical margins following wide surgical excisional biopsy of malignant eyelid tumors is excellent at 98%.
KeywordsEye Eyelid Tumor Frozen section Permanent section Histopathology Sebaceous gland carcinoma Basal cell carcinoma Squamous cell carcinoma
The authors would like to acknowledge the support provided by The Operation Eyesight Universal Institute for Eye Cancer and Hyderabad Eye Research Foundation, Hyderabad, India.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Research involving human participants and/or animals
This article does not contain any studies with animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
- 3.Fechner RE (1977) The birth and evolution of American surgical pathology. In: Rosai J (ed) Guiding the surgeon’s hand. American Registry of Pathology, Armed Forces Institute of Pathology, Washington DCGoogle Scholar
- 9.Older JJ, Quickert MH, Beard C (1975) Surgical removal of basal cell carcinoma of the eyelids utilizing frozen section control. Trans Am Acad Ophthalmol Otolaryngol 79:658–663Google Scholar
- 13.Mohs FE (1986) Micrographic surgery for the microscopically controlled excision of eyelid cancer: history and development. Adv Ophthal Plast Reconstr Surg 5:381–408Google Scholar