Value of Frozen Section in the Selection of Surgical Modalities for Patients With Bethesda Ⅵ Thyroid Nodules
10.3969/j.issn.1009-6604.2025.02.002
- VernacularTitle:术中冰冻在Bethesda Ⅵ类甲状腺结节患者手术方式选择中的价值
- Author:
Pengfei LUO
1
;
Yu WANG
Author Information
1. 阜阳市人民医院普外科,阜阳 236000
- Publication Type:Journal Article
- Keywords:
Thyroid nodule;
Fine needle aspiration;
Frozen section;
Bethesda classification
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(2):70-74
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of frozen section(FS)in the selection of surgical modalities for patients with Bethesda Ⅵ thyroid nodules.Methods Clinical data of 287 cases of 306 Bethesda Ⅵ thyroid nodules in our department from January 2022 to April 2024 were reviewed.The proportion of changes in patients'expected surgical methods caused by FS,the sensitivity,missed diagnosis rate,and diagnostic accuracy of fine needle aspiration(FNA)and FS,as well as the utilization rate of FS and the preference of surgeons,were observed.Results The utilization rate of FS was 62.4％(191/306),and the difference in utilization rate of FS among 8 surgeons was statistically significant(x2=36.722,P=0.000).FS changed the expected surgical plan in 4.7％(9/191)of patients with nodules,which was finally proved by paraffin pathology to be inappropriate.The missed diagnosis rate of FNA was significantly lower than that of FS(0.0％vs.4.7％,P=0.000),and the sensitivity(100.0％vs.95.3％)and diagnostic accuracy(100.0％vs.95.3％)of FNA were significantly higher than that of FS(P=0.000 and 0.000).Conclusion It is not recommended to use FS to reconfirm the malignant outcome of FNA for Bethesda Ⅵ thyroid nodules,as FS may mislead surgical decisions in some patients.
