Malignant eyelid tumors: Are intra-operative rapid frozen section and permanent section diagnoses of surgical margins concordant?

International Ophthalmology volume 39, pages2205–2211(2019)Cite this article

Abstract

Purpose

To study the concordance between intra-operative rapid frozen section and permanent section diagnoses of surgical margins following wide surgical excisional biopsy of malignant eyelid tumors.

Methods

This is a retrospective study of 120 cases and 429 frozen section slides.

Results

Of 120 cases, 75 (63%) had sebaceous gland carcinoma, 34 (28%) had basal cell carcinoma, and 11 (9%) had squamous cell carcinoma. All cases with these malignant eyelid tumors underwent wide surgical excisional biopsy under frozen section control of surgical margins. A total of 429 frozen section slides were reviewed for rapid frozen section diagnosis. Eyelid reconstruction was performed in all cases after clearance was obtained by rapid frozen section diagnosis of surgical margins as negative for tumor infiltration. Permanent section diagnosis of surgical margins was positive for tumor infiltration in 5 (1%) slides, which were reported as negative on rapid frozen section diagnosis of surgical margins, and was negative for tumor infiltration in 3 (< 1%), which were reported as positive on initial rapid frozen section diagnosis of surgical margins. The sensitivity, specificity, and accuracy of intra-operative rapid frozen section diagnosis of surgical margins for malignant eyelid tumors were 89%, 99%, and 98%, respectively.

Conclusion

The concordance between the intra-operative rapid frozen section and permanent section diagnoses of surgical margins following wide surgical excisional biopsy of malignant eyelid tumors is excellent at 98%.

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Funding

The authors would like to acknowledge the support provided by The Operation Eyesight Universal Institute for Eye Cancer and Hyderabad Eye Research Foundation, Hyderabad, India.

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Affiliations

  1. The Operation Eyesight Universal Institute for Eye Cancer, L V Prasad Eye Institute, Hyderabad, 500034, India

    Swathi Kaliki, Sasi Pyda, Nupur Goel, Tarjani Vivek Dave & Milind N. Naik

  2. Ophthalmic Pathology Laboratory (DKM), L V Prasad Eye Institute, Hyderabad, India

    Dilip K. Mishra

Authors
  1. Swathi Kaliki
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  2. Sasi Pyda
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  3. Nupur Goel
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  4. Tarjani Vivek Dave
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  5. Milind N. Naik
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Correspondence to Swathi Kaliki.

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Research involving human participants and/or animals

This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Kaliki, S., Pyda, S., Goel, N. et al. Malignant eyelid tumors: Are intra-operative rapid frozen section and permanent section diagnoses of surgical margins concordant?. Int Ophthalmol 39, 2205–2211 (2019). https://doi.org/10.1007/s10792-018-1058-0

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Keywords

  • Eye
  • Eyelid
  • Tumor
  • Frozen section
  • Permanent section
  • Histopathology
  • Sebaceous gland carcinoma
  • Basal cell carcinoma
  • Squamous cell carcinoma