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目前,涎腺肿瘤最终手术方案的制定主要依赖术中组织冰冻切片诊断。对于病理医生来说,术中组织冰冻切片诊断的要求是确定涎腺肿瘤的良、恶性以及恶性程度,而并不一定要明确肿瘤的具体类型。观察肿瘤的生长方式,即肿瘤有无包膜、是否呈浸润性生长以及浸润状况是判断涎腺肿瘤良恶性的主要依据之一,对于某些类型涎腺肿瘤来说,浸润性生长可能是支持其为恶性的唯一证据。熟悉临床资料,做好组织冰冻巨检和取材工作,保证组织冰冻制片质量均有助于保证及提高组织冰冻切片诊断准确性。
At present, the salivary gland tumor final surgical plan is mainly based on intraoperative frozen section diagnosis. For pathologists, the requirement for the diagnosis of intraoperative frozen section is to determine the salivary gland tumor benign, malignant and malignant degree, but does not have to be clear about the specific type of tumor. To observe the growth of tumor, that tumor with or without capsule, whether invasive growth and invasion status is to determine the salivary gland tumor benign and malignant one of the main basis for some types of salivary gland tumors, invasive growth may be supportive It is the only evidence of malignancy. Familiar with the clinical data, do a good job of tissue frozen giant inspection and drawing work, to ensure the quality of frozen tissue preparation will help to ensure and improve the diagnostic accuracy of tissue frozen sections.