We investigated the use of frozen sections (FSs) at radical prostatectomy (RP).
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Sensitivity and specificity were 85% and 100% for diagnosis of adenocarcinoma.
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Positive FS was associated with perineural invasion on biopsy and higher stage at RP.
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Accuracy of FS in predicting the overall prostatectomy final margin status was 81%.
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We suggest that FS has limited, if any predictive utility, for final margin status.
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