MEDizzy
MEDizzy
USMLE
Neoplastic Disorders
A 76-year-old woman has reported a change in the caliber of her stools during the past month. On physical examination, there are no abnormal findings, but a stool sample is positive for occult blood. A colonoscopy is performed and a constricting mass involving the lower sigmoid colon is found. She undergoes a partial colectomy. Which of the following techniques used during surgery can best aid the surgeon in determining whether the resection is adequate to reduce the probability of a recurrence?
Explanation
ExplanationThe rapid frozen section of resection margins helps to determine whether enough of the colon has been resected. Electron microscopy requires at least 1 day to perform, and helps to determine the cell type, but it has largely been supplanted by immunohistochemistry. Fine-needle aspiration is used for preoperative diagnosis to find a malignancy. Flow cytometry can be performed in several hours, but it is useful mainly for prognostic information and is not a “stat” procedure.
USMLE
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