肺部肿物术中快速病理诊断与术后病理诊断不符合情况分析

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The rapid pathologic diagnosis of pulmonary mass during operation is not consistent with the posto - perative pathologic diagnosis

RuanWeiwei，angQingquan，Yeihua

DepartmentofPathology，TheFirstAfliatedHospitalofXiamenUniversity，Xiamen361oo3，China

Correspondingauthor：YeMeihua，Email：yemeihuaO917@126.com

【Abstract】ObjectiveTo analyze the reasons for the inconsistency between rapid intraoperative pathological diagnosis and postoperative parafin section pathological diagnosis of pulmonarymasses，and topropose an optimal scheme.MethodsThe clinicopathological data of intraoperative frozen sectionpathological diagnosis of pulmonarymassescollected from Departmentof Pathology，FirstAfilited Hospitalof XiamenUniversityfrom June 2022 to June 2O23 werecollected，and thecases with inconsistentintraoperative rapid pathological diagnosis and postoperative pathological diagnosis were analyzed.ResultsThe coincidence rate of intraoperative rapid pathological diagnosis and postoperative pathological diagnosis was 99.38% （1 611/1 621），which reached the standard of diagnosis and treatment in the industry.Therapid intraoperative pathological diagnosis of lung masses wasinconsistent with thatof postoperative paraffinsections in 1O cases.Intraoperative and postoperative pathological diagnosis didnot match：intraoperative diagnosis was malignant，postoperative diagnosis was benign in 3cases;Intraoperativediagnosis was benign，postoperativediagnosis was malignant5cases;Both intraoperativeand postoperative cases were diagnosed as malignant，and the disease type was inconsistent in 2 cases.Conclusion Thereasons for the incompatibility between rapid pathologic diagnosis of pulmonary masses and postoperative pathological diagnosis of parafin sections include：diagnosis，sampling and filmproduction.Such inconsistencies can be reduced by strengthening the training of pathologists，improving the technicallevel of pathologists，optimizing the pathologic workflow and introducing new technologies.

【Key words】 Lung neoplasm; Frozen section of lung tumor; Pathological diagnosisDOI：10.19522/j.cnki.1671-5098.2025.03.014

在肺部肿物手术过程中，术中快速冰冻病理检查是判断肺部肿物性质最重要的手段[1]。（剩余3512字）