Skip to main content

Part of the book series: Frozen Section Library ((FROZEN,volume 11))

  • 1323 Accesses

Abstract

Intraoperative consultations of material from the uterine body are mostly related to evaluation of specimens from hysterectomies, performed for a wide variety of reasons. These reasons will be considered first, followed by a discussion of the different specimens submitted from the operating room and the related clinical background. The last part of the chapter considers selected conditions and differential diagnostic issues associated with these entities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Recommended Reading

  • Abeler VM, Nenodovic M. Diagnostic immunohistochemistry in uterine sarcomas: A study of 397 cases. Internat J Gynecol Pathol. 2011;30:336–43.

    PubMed  CAS  Google Scholar 

  • Altintas A, Cosar E, Vardar MA, et al. Intraoperative assessment of depth of myometrial invasion in endometrial carcinoma. Eur J Gynaecol Oncol. 1999;20:329–31.

    PubMed  CAS  Google Scholar 

  • Atad J, Weill S, Ben-David Y, et al. Intraoperative frozen section examination of myometrial invasion depth in patients with endometrial carcinoma. Int J Gynecol Cancer. 1994;4:352–5.

    Article  PubMed  Google Scholar 

  • Attard MS, Coutts M, Devaja O, et al. Accuracy of frozen section diagnosis at surgery in pre-malignant and malignant lesions of the endometrium. Eur J Gynaecol Oncol. 2008;29:435–40.

    Google Scholar 

  • Barakat RR, Bevers MW, Gershenson DM, Hoskins WH, editors. MD Anderson Cancer Center and Memorial Sloan-Kettering Cancer Center Handbook of gynecologic oncology. 2nd ed. London: Martin Dunitz; 2002.

    Google Scholar 

  • Berek JS, Hacker NF, editors. Berek & Hacker’s practical gynecologic oncology. 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2009.

    Google Scholar 

  • Bjornsson BL, Nelson BE, Reale FR, Rose PG. Accuracy of frozen section for lymph node metastasis in patients undergoing radical hysterectomy for carcinoma of the cervix. Gynecol Oncol. 1993;51:50–3.

    Article  PubMed  CAS  Google Scholar 

  • Boronow RC, Morrow CP, Creasman WT, et al. Surgical staging in endometrial cancer: clinical-pathologic findings of a prospective study. Obstet Gynecol. 1984;63:825–32.

    PubMed  CAS  Google Scholar 

  • Creasman WT, Morrow CP, Bundy BN, et al. Surgical pathologic spread of endometrial cancer, a gynecologic oncology group study. Cancer. 1987;60:2035–41.

    Article  PubMed  CAS  Google Scholar 

  • Crum CP, Lee KR, editors. Diagnostic gynecologic and obstetric pathology. Philadelphia, PA: Elsevier Saunders; 2006.

    Google Scholar 

  • Daniel AG, Peters 3rd WA. Accuracy of office and operating room curettage in the grading of endometrial carcinoma. Obstet Gynecol. 1988;71:612–4.

    PubMed  CAS  Google Scholar 

  • DiSaia PJ, Creasman WT. Clinical gynecologic oncology. 7th ed. Philadelphia, PA: Mosby-Elsevier; 2007.

    Google Scholar 

  • Fanfani F, Ludovisi M, Zannoni GF, et al. Frozen section examination of pelvic lymph nodes in endometrial and cervical cancer: accuracy in patients submitted to neoadjuvant treatments. Gynecol Oncol. 2004;94:779–84.

    Article  PubMed  Google Scholar 

  • Fishman A et al. The value of transvaginal sonography in the preoperative assessment of myometrial invasion in high and low grade endometrial cancer and in comparison to frozen section in grade 1 disease. Eur J Gynaecol Oncol. 2000;21:128–30.

    PubMed  CAS  Google Scholar 

  • Forde GK, Carlson JW, Downey GO, et al. A quality process study of lymph node evaluation in endometrial cancer. Internat J Gynecol Pathol. 2011;30:335–9.

    Article  PubMed  CAS  Google Scholar 

  • Goff BA, Rice LW. Assessment of depth of myometrial invasion in endometrial adenocarcinoma. Gynecol Oncol. 1990;38:46–8.

    Article  PubMed  CAS  Google Scholar 

  • Hasenburg A et al. Evaluation of lymph nodes in squamous cell carcinoma of the cervix: touch imprint cytology versus frozen section histology. Int J Gynecol Cancer. 1999;9:337–41.

    Article  PubMed  Google Scholar 

  • Hoskins W, Perez CA, Young RC. Principles and practice of gynecologic oncology. 3rd ed. Philadelphia, PA: Lippincott William & Wilkins; 2000.

    Google Scholar 

  • Indermaur M, Shoup B, Tebes S, et al. The accuracy of frozen pathology at time of hysterectomy in patients with complex atypical hyperplasia on preoperative biopsy. Residents’ papers. Am J Obstet Gynecol. 2007;196:e40–2.

    Article  PubMed  Google Scholar 

  • Kir G, Kir M, Cetiner H, et al. Diagnostic problems on frozen section ­examination of myometrial invasion in patients with endometrial ­carcinoma with special emphasis on the pitfalls of deep adenomyosis with carcinomatous involvement. Eur J Gynaecol Oncol. 2004;25:211–4.

    PubMed  CAS  Google Scholar 

  • Korczynski J, Jesionek-Kupnicka D, Gottwald L, et al. Comparison of FIGO 1989 and 2009 recommendations on staging of endometrial carcinoma. Pathologic analysis and cervical status in 123 consecutive cases. Internat J Gynecol Pathol. 2011;30:328–34.

    Article  PubMed  CAS  Google Scholar 

  • Kucera E, Kainz RC, Sliutz G, et al. Accuracy of intraoperative frozen section diagnosis in stage I endometrial adenocarcinoma. Gynecol Obstet Invest. 2000;49:62–6.

    Article  PubMed  CAS  Google Scholar 

  • Lopez-Garcia MA, Palacios J. Pathologic and molecular features of uterine carcinosarcomas. Semin Diagn Pathol 2010;27:274–86.

    Google Scholar 

  • Mills SE. Decidua and squamous metaplasia in abdominopelvic lymph nodes. Int J Gynecol Pathol. 1983;2:209–15.

    Article  PubMed  CAS  Google Scholar 

  • Noriaki S, Chikara S, Naoki T, et al. Incidence and distribution pattern of pelvic and paraaortic lymph node metastasis in patients with Stage IB, IIA and IIB cervical carcinoma treated with radical hysterectomy. Cancer. 1999;85:1547–54.

    Article  Google Scholar 

  • Noumoff JS, Menzin A, Mikuta J, et al. The ability to evaluate prognostic variables on frozen section in hysterectomies performed for endometrial carcinoma. Gynecol Oncol. 1991;42:202–8.

    Article  PubMed  CAS  Google Scholar 

  • Nucci MR, Oliva E. Gynecologic pathology. London: Elsevier Churchill Livingstone; 2009 (Volume in the series foundations in diagnostic pathology).

    Google Scholar 

  • Robboy SJ, Anderson MC, Russell P. Pathology of the female reproductive tract. London: Churchill Livingstone; 2002.

    Google Scholar 

  • Shim JU, Rose PG, Reale FR, et al. Accuracy of frozen section diagnosis at surgery in clinical stage I and II endometrial carcinoma. Am J Obstet Gynecol. 1992;166:1335–8.

    PubMed  CAS  Google Scholar 

  • Takeshima N, Hirai Y, Hasumi K. Prognostic validity of neoplastic cells with notable nuclear atypia in endometrial cancer. Obstet Gynecol. 1998;92:119–23.

    Article  PubMed  CAS  Google Scholar 

  • Wu DC, Hirschowitz S, Nararajan S. Ectopic decidua of pelvic lymph nodes. Arch Pathol Lab Med. 2005;129:117–20.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Donna M. Coffey MD .

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Coffey, D.M., Ramzy, I. (2012). Uterine Body. In: Frozen Section Library: Gynecologic Pathology Intraoperative Consultation. Frozen Section Library, vol 11. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-95958-0_5

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-95958-0_5

  • Published:

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-95957-3

  • Online ISBN: 978-0-387-95958-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics