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Accuracy of intraoperative tissue staining in delineating deep surgical margins in oral carcinoma surgery.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kurita, Hiroshi Sakai, Hironori Kamata, Takahiro Koike, Takeshi Kobayashi, Hiroichi Kurashina, Kenji
Description	Country affiliation: Japan Author Affiliation: Kurita H ( Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan. hkurita@hsp.md.shinshu-u.ac.jp)
Abstract	The purpose of this study was to assess the accuracy of this tissue staining assessment of surgical specimens in delineating deep surgical margins in oral cancer surgery. Fifteen patients who underwent surgery for oral carcinoma were included in the study. Once the tumor was resected, a vertical section of the surgical specimen was taken from the central part of the tumor. The section was consecutively stained with 0.4% indigo carmine and 0.5% Congo red, and deep surgical margins were assessed using a digital microscope with a magnification power of 25-175x. The results of tissue staining analysis were compared with the corresponding results of conventional histopathological analysis with HE staining, which is considered the gold standard. The extent of carcinoma invasion could be visualized after the application of tissue staining solutions. Tissue staining analysis was accurate in 12 of the 15 patients (80%) in evaluating the closest deep surgical margin. There was no significant difference in the tumor-margin distance between tissue staining and histopathological assessment in these 12 patients (Wilcoxon signed-ranks test, P>0.63). The results of this study showed that intraoperative tissue staining of surgical specimens permitted visual inspection and assessment of tumor spread to surgical margin, although the method has some limitations. The method had a possible ability in controlling the deep surgical margin.
File Format	HTM / HTML
ISSN	13688375
Issue Number	10
Volume Number	44
e-ISSN	18790593
Journal	Oral Oncology
Language	English
Publisher	Elsevier
Publisher Date	2008-10-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Oncology Carcinoma, Squamous Cell Pathology Mouth Neoplasms Neoplasm Recurrence, Local Prevention & Control Staining And Labeling Methods Aged Aged, 80 And Over Surgery Female Frozen Sections Humans Male Middle Aged Neoplasm Invasiveness Neoplasm Staging Prospective Studies Sensitivity And Specificity Journal Article
Content Type	Text
Resource Type	Article
Subject	Oral Surgery Cancer Research Oncology

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