The accuracy of clinical examination versus frozen section in the diagnosis of parotid masses
Purpose: This study evaluated the role of clinical examination and frozen sections in the diagnosis and management of parotid masses. Patients and Methods: One hundred seventy patients underwent parotidectomy. Of these, the data on 65 were analyzed, with emphasis on accuracy of the clinical diagnosi...
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| Veröffentlicht in: | Journal of oral and maxillofacial surgery 1997, Vol.55 (1), p.29-31 |
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| container_title | Journal of oral and maxillofacial surgery |
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| creator | Zheng, Jia Wei Song, Xing Yun Nie, Xu Guang |
| description | Purpose:
This study evaluated the role of clinical examination and frozen sections in the diagnosis and management of parotid masses.
Patients and Methods:
One hundred seventy patients underwent parotidectomy. Of these, the data on 65 were analyzed, with emphasis on accuracy of the clinical diagnosis and frozen section results compared with the final histologic diagnosis.
Results:
The results showed that the sensitivity of frozen sections for malignancy was 93.3%, and the specificity for a benign tumor was 95.74%, with a 4.2% false-negative rate and a 6.7% false-positive rate. Of the 65 patients, 58 patients had an explicit clinical diagnosis; 88.4% were correctly identified as benign tumors, and 78.6% were correctly diagnosed as malignancies. The false-positive and false-negative rates were 21.4% and 7.0%, respectively.
Conclusions:
The results of this study suggest that clinical examination can provide information that is not very reliable, and the surgical plan should be based on intraoperative frozen sections rather than the history and clinical features. |
| doi_str_mv | 10.1016/S0278-2391(97)90440-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78787429</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0278239197904407</els_id><sourcerecordid>78787429</sourcerecordid><originalsourceid>FETCH-LOGICAL-c362t-9a6d1fa5cb6a37bcd24bb8f952dbb175e1b652adaef4305dc43075917de2e4083</originalsourceid><addsrcrecordid>eNqFkE1LxDAQhoMoun78hIWcRA_VpG2a5iSy-AWCB_UoIU2mGmmbNdOK66-3-8FeZWAGZt53hnkImXJ2wRkvLp9ZKsskzRQ_U_JcsTxnidwhEy4ynggmsl0y2UoOyCHiJ2OcC1nsk_1SqTwvxIS8vXwANdYO0dgFDTW1je-8NQ2FH9P6zvQ-dPQbIg5I6xh-oaMIdtX1He1Ht_PmvQvocWmfmxh672hrEAGPyV5tGoSTTT0ir7c3L7P75PHp7mF2_ZjYrEj7RJnC8doIWxUmk5V1aV5VZa1E6qqKSwG8KkRqnIE6z5hwdsxSKC4dpJCzMjsip-u98xi-BsBetx4tNI3pIAyoZTlGnqpRKNZCGwNihFrPo29NXGjO9BKrXmHVS2ZaSb3CquXom24ODFULbuvacBznV-s5jF9-e4garYfOgvNxpKVd8P9c-AMZaokn</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78787429</pqid></control><display><type>article</type><title>The accuracy of clinical examination versus frozen section in the diagnosis of parotid masses</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Zheng, Jia Wei ; Song, Xing Yun ; Nie, Xu Guang</creator><creatorcontrib>Zheng, Jia Wei ; Song, Xing Yun ; Nie, Xu Guang</creatorcontrib><description>Purpose:
This study evaluated the role of clinical examination and frozen sections in the diagnosis and management of parotid masses.
Patients and Methods:
One hundred seventy patients underwent parotidectomy. Of these, the data on 65 were analyzed, with emphasis on accuracy of the clinical diagnosis and frozen section results compared with the final histologic diagnosis.
Results:
The results showed that the sensitivity of frozen sections for malignancy was 93.3%, and the specificity for a benign tumor was 95.74%, with a 4.2% false-negative rate and a 6.7% false-positive rate. Of the 65 patients, 58 patients had an explicit clinical diagnosis; 88.4% were correctly identified as benign tumors, and 78.6% were correctly diagnosed as malignancies. The false-positive and false-negative rates were 21.4% and 7.0%, respectively.
Conclusions:
The results of this study suggest that clinical examination can provide information that is not very reliable, and the surgical plan should be based on intraoperative frozen sections rather than the history and clinical features.</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1016/S0278-2391(97)90440-7</identifier><identifier>PMID: 8994465</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Dentistry ; False Negative Reactions ; False Positive Reactions ; Female ; Frozen Sections ; Humans ; Male ; Middle Aged ; Parotid Diseases - pathology ; Reproducibility of Results ; Sensitivity and Specificity</subject><ispartof>Journal of oral and maxillofacial surgery, 1997, Vol.55 (1), p.29-31</ispartof><rights>1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-9a6d1fa5cb6a37bcd24bb8f952dbb175e1b652adaef4305dc43075917de2e4083</citedby><cites>FETCH-LOGICAL-c362t-9a6d1fa5cb6a37bcd24bb8f952dbb175e1b652adaef4305dc43075917de2e4083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0278239197904407$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8994465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zheng, Jia Wei</creatorcontrib><creatorcontrib>Song, Xing Yun</creatorcontrib><creatorcontrib>Nie, Xu Guang</creatorcontrib><title>The accuracy of clinical examination versus frozen section in the diagnosis of parotid masses</title><title>Journal of oral and maxillofacial surgery</title><addtitle>J Oral Maxillofac Surg</addtitle><description>Purpose:
This study evaluated the role of clinical examination and frozen sections in the diagnosis and management of parotid masses.
Patients and Methods:
One hundred seventy patients underwent parotidectomy. Of these, the data on 65 were analyzed, with emphasis on accuracy of the clinical diagnosis and frozen section results compared with the final histologic diagnosis.
Results:
The results showed that the sensitivity of frozen sections for malignancy was 93.3%, and the specificity for a benign tumor was 95.74%, with a 4.2% false-negative rate and a 6.7% false-positive rate. Of the 65 patients, 58 patients had an explicit clinical diagnosis; 88.4% were correctly identified as benign tumors, and 78.6% were correctly diagnosed as malignancies. The false-positive and false-negative rates were 21.4% and 7.0%, respectively.
Conclusions:
The results of this study suggest that clinical examination can provide information that is not very reliable, and the surgical plan should be based on intraoperative frozen sections rather than the history and clinical features.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Dentistry</subject><subject>False Negative Reactions</subject><subject>False Positive Reactions</subject><subject>Female</subject><subject>Frozen Sections</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Parotid Diseases - pathology</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><issn>0278-2391</issn><issn>1531-5053</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAQhoMoun78hIWcRA_VpG2a5iSy-AWCB_UoIU2mGmmbNdOK66-3-8FeZWAGZt53hnkImXJ2wRkvLp9ZKsskzRQ_U_JcsTxnidwhEy4ynggmsl0y2UoOyCHiJ2OcC1nsk_1SqTwvxIS8vXwANdYO0dgFDTW1je-8NQ2FH9P6zvQ-dPQbIg5I6xh-oaMIdtX1He1Ht_PmvQvocWmfmxh672hrEAGPyV5tGoSTTT0ir7c3L7P75PHp7mF2_ZjYrEj7RJnC8doIWxUmk5V1aV5VZa1E6qqKSwG8KkRqnIE6z5hwdsxSKC4dpJCzMjsip-u98xi-BsBetx4tNI3pIAyoZTlGnqpRKNZCGwNihFrPo29NXGjO9BKrXmHVS2ZaSb3CquXom24ODFULbuvacBznV-s5jF9-e4garYfOgvNxpKVd8P9c-AMZaokn</recordid><startdate>1997</startdate><enddate>1997</enddate><creator>Zheng, Jia Wei</creator><creator>Song, Xing Yun</creator><creator>Nie, Xu Guang</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>1997</creationdate><title>The accuracy of clinical examination versus frozen section in the diagnosis of parotid masses</title><author>Zheng, Jia Wei ; Song, Xing Yun ; Nie, Xu Guang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-9a6d1fa5cb6a37bcd24bb8f952dbb175e1b652adaef4305dc43075917de2e4083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Dentistry</topic><topic>False Negative Reactions</topic><topic>False Positive Reactions</topic><topic>Female</topic><topic>Frozen Sections</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Parotid Diseases - pathology</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zheng, Jia Wei</creatorcontrib><creatorcontrib>Song, Xing Yun</creatorcontrib><creatorcontrib>Nie, Xu Guang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zheng, Jia Wei</au><au>Song, Xing Yun</au><au>Nie, Xu Guang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The accuracy of clinical examination versus frozen section in the diagnosis of parotid masses</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>1997</date><risdate>1997</risdate><volume>55</volume><issue>1</issue><spage>29</spage><epage>31</epage><pages>29-31</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><abstract>Purpose:
This study evaluated the role of clinical examination and frozen sections in the diagnosis and management of parotid masses.
Patients and Methods:
One hundred seventy patients underwent parotidectomy. Of these, the data on 65 were analyzed, with emphasis on accuracy of the clinical diagnosis and frozen section results compared with the final histologic diagnosis.
Results:
The results showed that the sensitivity of frozen sections for malignancy was 93.3%, and the specificity for a benign tumor was 95.74%, with a 4.2% false-negative rate and a 6.7% false-positive rate. Of the 65 patients, 58 patients had an explicit clinical diagnosis; 88.4% were correctly identified as benign tumors, and 78.6% were correctly diagnosed as malignancies. The false-positive and false-negative rates were 21.4% and 7.0%, respectively.
Conclusions:
The results of this study suggest that clinical examination can provide information that is not very reliable, and the surgical plan should be based on intraoperative frozen sections rather than the history and clinical features.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>8994465</pmid><doi>10.1016/S0278-2391(97)90440-7</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0278-2391 |
| ispartof | Journal of oral and maxillofacial surgery, 1997, Vol.55 (1), p.29-31 |
| issn | 0278-2391 1531-5053 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78787429 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Aged Dentistry False Negative Reactions False Positive Reactions Female Frozen Sections Humans Male Middle Aged Parotid Diseases - pathology Reproducibility of Results Sensitivity and Specificity |
| title | The accuracy of clinical examination versus frozen section in the diagnosis of parotid masses |
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