Evolution of Frozen Section in Carcinoma Breast: Systematic Review

Background. The frozen section (FS) has been a good technique in surgical management of breast lesions since many years. But complete agreement and cooperation have not been achieved everywhere among surgeons and pathologists especially in the developing countries. FS undergoes continuous criticism...

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Main Authors: Manjit Kaur Rana, Amrit Pal Singh Rana, Uttam Sharma, Tushar Singh Barwal, Aklank Jain
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Breast Cancer
Online Access:http://dx.doi.org/10.1155/2022/4958580
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author Manjit Kaur Rana
Amrit Pal Singh Rana
Uttam Sharma
Tushar Singh Barwal
Aklank Jain
author_facet Manjit Kaur Rana
Amrit Pal Singh Rana
Uttam Sharma
Tushar Singh Barwal
Aklank Jain
author_sort Manjit Kaur Rana
collection DOAJ
description Background. The frozen section (FS) has been a good technique in surgical management of breast lesions since many years. But complete agreement and cooperation have not been achieved everywhere among surgeons and pathologists especially in the developing countries. FS undergoes continuous criticism due to various shortcomings but continued to be evaluated especially in developing countries. Objectives. This review was conducted to synthesize information on the use of frozen section in carcinoma breast. Data Sources. The MEDLINE database for frozen section since its origin and its implication in recent breast surgery techniques was studied. Study Eligibility Criteria. Sixty-five articles were reviewed with complete analysis on FS in both benign and malignant breast lesions. Study Appraisal and Synthesis Methods. The analysis of frozen section was done as a diagnostic tool in breast lesions, margin status in breast conservative surgery in carcinoma breast, and sentinel lymph node and use of immunohistochemistry for sentinel lymph node FS. Results. It was analysed that the FS gives accurate results in margin status analysis, decreasing rerecurrence. Conclusion. The accuracy of FSA, low recurrence rate, avoidance of reoperation, and good cosmesis are the key points of its use in breast conservative surgery. Its use in sentinel lymph node biopsy (SLNB) is equivocal. However, application of immunohistochemistry on frozen section of SLNB is an evolving trend in today’s era.
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issn 2090-3189
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publishDate 2022-01-01
publisher Wiley
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series International Journal of Breast Cancer
spelling doaj-art-e2c6baf4adef45cabe6486ea88cb834a2025-02-03T05:53:36ZengWileyInternational Journal of Breast Cancer2090-31892022-01-01202210.1155/2022/4958580Evolution of Frozen Section in Carcinoma Breast: Systematic ReviewManjit Kaur Rana0Amrit Pal Singh Rana1Uttam Sharma2Tushar Singh Barwal3Aklank Jain4Pathology/Lab MedicineGeneral SurgeryDepartment of ZoologyDepartment of ZoologyDepartment of ZoologyBackground. The frozen section (FS) has been a good technique in surgical management of breast lesions since many years. But complete agreement and cooperation have not been achieved everywhere among surgeons and pathologists especially in the developing countries. FS undergoes continuous criticism due to various shortcomings but continued to be evaluated especially in developing countries. Objectives. This review was conducted to synthesize information on the use of frozen section in carcinoma breast. Data Sources. The MEDLINE database for frozen section since its origin and its implication in recent breast surgery techniques was studied. Study Eligibility Criteria. Sixty-five articles were reviewed with complete analysis on FS in both benign and malignant breast lesions. Study Appraisal and Synthesis Methods. The analysis of frozen section was done as a diagnostic tool in breast lesions, margin status in breast conservative surgery in carcinoma breast, and sentinel lymph node and use of immunohistochemistry for sentinel lymph node FS. Results. It was analysed that the FS gives accurate results in margin status analysis, decreasing rerecurrence. Conclusion. The accuracy of FSA, low recurrence rate, avoidance of reoperation, and good cosmesis are the key points of its use in breast conservative surgery. Its use in sentinel lymph node biopsy (SLNB) is equivocal. However, application of immunohistochemistry on frozen section of SLNB is an evolving trend in today’s era.http://dx.doi.org/10.1155/2022/4958580
spellingShingle Manjit Kaur Rana
Amrit Pal Singh Rana
Uttam Sharma
Tushar Singh Barwal
Aklank Jain
Evolution of Frozen Section in Carcinoma Breast: Systematic Review
International Journal of Breast Cancer
title Evolution of Frozen Section in Carcinoma Breast: Systematic Review
title_full Evolution of Frozen Section in Carcinoma Breast: Systematic Review
title_fullStr Evolution of Frozen Section in Carcinoma Breast: Systematic Review
title_full_unstemmed Evolution of Frozen Section in Carcinoma Breast: Systematic Review
title_short Evolution of Frozen Section in Carcinoma Breast: Systematic Review
title_sort evolution of frozen section in carcinoma breast systematic review
url http://dx.doi.org/10.1155/2022/4958580
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