Frozen Section Management, Head and Neck Carcinoma
Conditions
Keywords
Frozen Section, communication, Head and Neck Squamous Cell Carcinoma, Resection Status, Margin Assessment, HNSCC
Brief summary
The aim of the study is to investigate the extent to which the oncological safety of frozen sections can be improved through visual communication between head and neck surgery and pathology. To date, communication has taken place exclusively by telephone. In the study photographs and videos of the tumor are taken and transmitted digitally to the pathology department. This provides the pathologist with a better understanding of the tumor bed and the orientation of the specimen. Likewise, images of the frozen sections are taken in the pathology department, on which the pathologist marks margins that are not resected in sano or are only narrowly in sano. These images are transmitted to the surgeon and provide a more precise understanding of the areas where additional resection may be required. To ensure patient safety, frozen section results are also communicated by telephone in the usual manner throughout the duration of the project.
Interventions
This intervention provides more precise information on frozen section results.
Sponsors
Study design
Eligibility
Inclusion criteria
* Histological proof of malignant head and neck carcinoma by biopsy * Planned curative tumor resection with frozen section management
Exclusion criteria
* No curative tumor resection aiming for R0 status * Head and neck tumors not assigned to surgical treatment * No frozen section management planned during surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Resection status | from day one through study completion, an average of 1 year | To increase the rate of R0 resections |
Countries
Germany