Utility Of Frozen Section Versus IOPTH In Parathyroid Surgery
DOI:
https://doi.org/10.21276/apalm.2181Keywords:
frozen, parathyroid, chemicalAbstract
Introduction: Parathyroid surgeries are becoming less extensive procedures, with reduced hospital stay. The use of intraoperative frozen section help the surgeon in identifying the pathology, thereby determining the nature of surgery.
Aim: To study the utility of frozen section in comparison to chemical frozen section in our set up
Materials and methods: Data was collected from records of department of Pathology during a period of 3 years. Only those cases were included in which the patient had undergone parathyroidectomy, with specimen being sent for frozen section and intra-operative parathyroid hormone (IOPTH) simultaneously.
Results: Frozen section diagnosis was concordant in 11/15 (73%) cases. Significant percentage drop in IOPTH was seen in 13/15 (86%) cases. We found frozen section useful in identifying parathyroid when there were multiple neck swellings.
Conclusion: The utility of frozen section in parathyroid surgery is diminishing and it is being replaced by better and more accurate biochemical assays.
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