Frozen section examination of pancreas, gallbladder, extrahepatic biliary tree, liver, and gastrointestinal tract
Jazyk angličtina Země Česko Médium print
Typ dokumentu časopisecké články
PubMed
30441965
PII: 105755
Knihovny.cz E-zdroje
- MeSH
- gastrointestinální nemoci * diagnóza patologie MeSH
- gastrointestinální trakt * patologie MeSH
- játra MeSH
- lidé MeSH
- žlučové ústrojí * patologie MeSH
- zmrazené řezy * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
The main indications for intraoperative consultation of gastrointestinal tract, liver, and pancreatobiliary system are to evaluate the resection margin and to make a tissue diagnosis of lesions for which preoperative histology is not aviable for various reasons. Special situations include the evaluation of liver donor biopsies for the presence of steatosis and inflamation, or determination that ganglion cells are present in the bowel wall at the level where the anastomosis will be placed in case of Hirschprung's disease. The most worrisome pitfalls include differentiating pancreatic ductal carcinoma from chronic pancreatitis, distinguishing biliary tree and gallbladder carcinoma from reactive changes caused by inflammation, and recognizing the presence of diffuse adenocarcinoma at the resection margin of the esophagus and stomach. Keywords: frozen section - gastrointestinal tract - liver - gallbladder - extrahepatic biliary tree - pancreas.