Frozen Section Library: Head and Neck

1. Front Matter

   Pages i-xiii

   PDF

2. General Considerations

   • Qihui Jim Zhai

   Pages 1-3

3. Nasal Cavity and Paranasal Sinuses

   • Qihui Jim Zhai

   Pages 5-14

4. Salivary Glands

   • Qihui Jim Zhai

   Pages 15-57

5. Oral Cavity, Pharynx, and Larynx

   • Qihui Jim Zhai

   Pages 59-81

6. Neck

   • Qihui Jim Zhai

   Pages 83-97

7. Head and Neck Presentations of Intracranial Lesions

   • Qihui J. Zhai, Ady Kendler

   Pages 99-108

8. Back Matter

   Pages 109-112

   PDF

Intraoperative frozen section interpretation is the base for treatment for the patient within the operating room. It requires immediate answer for the surgeon’s specific question and the subsequent consequences are frequently irreversible. The pathologist should be very familiar with the related differential diagnosis of the involved organ. Additionally, the pathologist needs to know many pitfalls and freezing artifacts in each organ and the clinical implications each diagnosis may result in. Frozen Section Library: Head and Neck will provide a convenient, user-friendly handbook to expedite use when performing intraoperative consultations on head and neck specimens. This book will be 5 X 8 and is estimated to be about 200 to 250 pages in toto with 100 to 150 color figures. An organ and clinical scenario based approach will be used in this book. This book will be divided into chapters based on the organs and anatomic locations. Within the chapter, a consistent format with the critical issues as a focus will be used including the frequently encountered clinical scenarios and the specific questions from the surgeons, frequent diagnostic considerations and their major diagnostic criteria with associated diagnostic pearls, artifacts and pitfalls and how to avoid them. Common and practical problems including reactive atypia versus carcinoma in salivary glands, resection margins in tongue and laryngectomy specimens, small blue cell tumors in the base of the skull, a primary lesion versus a metastatic squamous carcinoma in the neck, etc. will be illustrated with color pictures and accompanied legend. As a handbook for practicing pathologists, this book will be an indispensable aid to diagnosis and avoiding dangers in one of the most challenging situations that pathologists encounter. Rapid consideration of differential diagnoses and how to avoid traps caused by frozen section artifacts will be readily accessible to the users of this handbook. Tables and charts willprovide guidance for differential diagnosis of various histological patterns. This book will be highly valuable to practicing surgical pathologists, both community and academic, and to pathology residents and fellows. The perspectives provided will also be valuable to head and neck surgeons and especially to surgery residents and head and neck surgery fellows who must answer questions about pathology and frozen section on their board examinations. This handbook will be easily portable by the individual but it is envisioned that many departments will want to also keep copies readily available in the frozen section laboratory.

• Artifacts
• Lesions
• Salivary Glands
• Tongue
• Tumors
• pathology
• specimens

From the reviews:

“This is a focused reference of the most common and most harrowing conditions that the pathologist faces when confronted with intraoperative diagnosis of head and neck lesions. … The intended audience is surgical pathologists and pathologists in training who perform frozen sections, and the surgeons and surgery residents who rely on frozen section results. … This is a well-illustrated, brief … practical addition to the library of any surgical pathologist who deals with frozen section diagnosis of head and neck lesions.” (Paul St. Romain, Doody’s Review Service, May, 2011)

• Dept. Pathology & Laboratory Medicine, University of Cincinnati, Cincinnati, USA

  Qihui Jim Zhai

Qihui 'Jim' Zhai, MD, FCAP, is Professor of Pathology, University of Cincinnati,Cincinnati, OH. He is also Attending Pathologist at Greater Cincinnati Pathologists, Inc., Cininnati, OH.

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