PURPOSE: This study investigated the accuracy of intraoperative @entity2585 ( @entity2585 ) diagnosis for predicting the final pathology (FP) of peripheral small-sized @entity2220 and evaluated its usefulness in sublobar resection. @entity1 AND METHODS: The records of 803 @entity1 with clinical stage I peripheral @entity2220 who underwent sublobar resection for @entity2585 diagnosis to guide surgical strategy were reviewed. The surgical extension was mainly based on @entity2585 . The @entity2585 were stratified into atypical @entity1412 , @entity15709 ( @entity15709 ), @entity420 ( @entity420 ), and invasive @entity420 . The diagnostic accuracy of @entity2585 , the reasons for the discrepancy between @entity2585 and FP, and the clinical influence of the @entity2585 errors were evaluated. To assess the survival of @entity1 with different subtypes after surgery, 301 @entity1 were identified for prognosis evaluation. RESULTS: The total concordance rate between @entity2585 and FP was 84.4%. When atypical @entity1412 , @entity15709 , and @entity420 were classified together as a low-risk group, the concordance rate was 95.9%. Most discrepant cases were the underestimation of @entity15709 and @entity420 . The diagnostic accuracy of @entity2585 for @entity5  <= 1 cm and larger than 1 cm in diameter was 79.6% and 90.8%, respectively (P < .01). The @entity2585 errors had significant clinical impact on 0.9% of the 803 @entity1 due to insufficient resection. The 5-year recurrence-free survival rate (100%) was significantly better for the @entity1 with @entity15709 / @entity420 than for @entity1 with invasive @entity420 (74.1%, P < .01). CONCLUSION: Frozen pathology has a high concordance rate with FP. Precise diagnosis by intraoperative @entity2585 is an effective method to guide resection strategy for peripheral small-sized @entity2220 .

Precise Diagnosis of Intraoperative Frozen Section Is an Effective Method to Guide Resection Strategy for Peripheral Small-Sized XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumors'] @entity420 :: ('MESH:D000230', 'Disease') :: ['MIA', 'adenocarcinoma', 'minimally invasive adenocarcinoma'] @entity2585 :: ('MESH:D002062', 'Disease') :: ['frozen section', 'FS'] @entity15709 :: ('MESH:D065311', 'Disease') :: ['AIS', 'adenocarcinoma in situ'] @entity1412 :: ('MESH:D011125', 'Disease') :: ['adenomatous hyperplasia'] @entity2220 :: ('MESH:C538231', 'Disease') :: ['lung adenocarcinoma']
@entity2220 :: (MESH:C538231,Disease) :: ['Lung Adenocarcinoma']
