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Frozen Section Decision Making Algorithm (CAP)

Frozen Section Decision Making Algorithm (CAP): Frozen Section Request → Indication Assessment → Appropriate Indications → Specimen Handling → Interpret...

Interactive Decision Tree

Mini Map

Algorithm Steps

  1. Start

    Frozen Section Request

    Evaluate appropriateness of request

    1. Decision

      Indication Assessment

      Will result change surgery?

      • Margin assessment
      • Lymph node status
      • Tissue identification
      • Presence of malignancy
      • Resectability determination
      1. Action

        Appropriate Indications

        Frozen section likely helpful

        • Sentinel lymph node (breast, melanoma)
        • Surgical margins
        • Tumor resectability
        • Identification of parathyroid tissue
        • Ovarian tumor assessment
        1. Action

          Specimen Handling

          Optimize tissue processing

          • Fresh tissue only (no fixative)
          • Appropriate sampling (gross exam)
          • Thin sections (5 microns)
          • Adequate staining
          • Save tissue for permanent
          1. Decision

            Interpretation Confidence

            Can definitive diagnosis be made?

            1. Action

              Definitive Diagnosis

              Communicate to surgeon

              • Clear benign or malignant
              • Margin positive or negative
              • Document findings
              • Verbal communication
              • Include limitations noted
              1. Action

                Surgeon Communication

                Critical step

                • Direct verbal communication
                • Document who was called and when
                • Explain limitations clearly
                • Follow up with permanent correlation
                • Report discrepancies for QA
                1. Action

                  Frozen-Permanent Correlation

                  Quality assurance

                  • Compare frozen to permanent diagnosis
                  • Document any discrepancy
                  • Major discrepancy: different management
                  • Minor: same management category
                  • Root cause analysis if needed
            2. Action

              Defer to Permanent

              When uncertain

              • Atypical cells, cannot exclude malignancy
              • Need IHC for diagnosis
              • Inadequate tissue quality
              • Rare/unusual entity
              • Document reason for deferral
      2. Warning

        Not Recommended

        Defer to permanent sections

        • Lymphoma suspected (need flow/IHC)
        • Thyroid follicular lesions
        • Mesenchymal tumors (need IHC)
        • Small specimens (may exhaust tissue)
        • Fat-rich tissue (poor sections)

Guideline Source

CAP Guidelines for Frozen Section

Clinical Safety Information

Clinical Decision Support — Not a Substitute for Clinical Judgment

Individual patient factors may require deviation from these recommendations.

Known Limitations

  • Frozen section has limitations vs permanent
  • Some lesions not suitable for frozen
  • Deferral is appropriate option
  • Communication with surgeon critical
  • Sample selection affects accuracy

Applicable Regions

USAUUKEU

AU: RCPA standards

UK: RCPath guidance

US: CAP frozen section guidelines

Version 1Next review: 2028-01-01

Frequently Asked Questions

What is the Frozen Section Decision Making Algorithm (CAP)?

The Frozen Section Decision Making Algorithm (CAP) is a diagnostic clinical algorithm for Pathology. It provides a structured decision tree to guide clinical decision-making, based on CAP Guidelines for Frozen Section.

What guideline is the Frozen Section Decision Making Algorithm (CAP) based on?

This algorithm is based on CAP Guidelines for Frozen Section (DOI: 10.5858/arpa.2016-0234-CP).

What are the limitations of the Frozen Section Decision Making Algorithm (CAP)?

Known limitations include: Frozen section has limitations vs permanent; Some lesions not suitable for frozen; Deferral is appropriate option; Communication with surgeon critical; Sample selection affects accuracy. Individual patient factors may require deviation from these recommendations.

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