Importance of Histopathology in Routine Cholecystectomies

Journal Title: Indian Journal of Pathology and Oncology - Year 2017, Vol 4, Issue 2

Abstract

Introduction: Gall bladder is one of the common histopathological specimen received in pathology department during routine practice. Many a times premaligant changes, in-situ and invasive carcinomas are found as incidental findings in histopathology (HPE). Objectives: To know the incidence of various histopathological lesions which are most of the times incidentally identified in routine and elective cholecystectomies at our institution. Materials and Method: The study was conducted from January 2016 to June 2016. The gross specimen of gall bladder was received for histopathological examination at department of pathology. Gross examination findings of the specimen were recorded. If any calculi were present, their type and number were documented. Eight bits were sampled with 4 bits in one capsule. Results: 107 gall bladder specimens were received during the study period. A female preponderance was seen in our study with male to female ratio of 1:2.2. Majority of the cases seen were between 31-40 yrs. 97.3% cases were non neoplastic lesion and 2.7% were neoplastic. 18 cases had metaplasia, out of which 13 cases (12.1%) showed antral type metaplasia, 2 cases (1.9%) of intestinal metaplasia and 3 cases (2.8%) with both antral and intestinal type metaplasia was seen. One case of biliary intra epithelial neoplasia grade II (0.9%), one case of biliary adenoma (0.9%) and one case of invasive adenocarcinoma of gall bladder (0.9%) were incidentally identified. Conclusion: Although most of the cholecystectomies are elective done for cholecystitis a varied histopathological types of the lesions can be seen in gall bladder. Thus a meticulous and detailed examination of both gross and microscopy by sampling more bits is essential. Hence routine histopathological examination is gold standard and is mandatory for all cholecystectomy specimens.

Authors and Affiliations

Ashwini B. R. , Hafsa Saif, Siddiq M. Ahmed

Keywords

Related Articles

Evaluation of pancytopenia in adults through haematological parameters and bone marrow studies

Introduction Pancytopenia simultaneous presence of anemia leucopenia and thrombocytopenia is a common clinical entity that we see in day to day practice Proper diagnostic evaluation requires detailed clinical history phy...

Fine needle aspiration cytology of thyroid lesions and classification as per the bethesda system

Aims The objective of this study was to analyse the thyroid cytology smears by The Bethesda System for Reporting Thyroid Cytopathology TBSRTC to determine the distribution of diagnostic categories and subcategories to an...

Histopathological study of tonsillectomy specimen in a Tertiary Care Hospital

Aim: To study the spectrum of diseases affecting the palatine tonsils and to establish the histopathological criteria for diagnosis of chronic tonsillitis. Materials and Method: 40 palatine tonsillectomy specimen receive...

Diagnosis of Cysticercosis in post auricular swelling on FNAC- A case report

Introduction Cysticercosis a parasitic tissue infection is caused by larva of Taenia solium Cysticercus cellulosae Fine needle aspiration cytology FNAC provides direct specific simplest and early diagnosis of cysticercos...

Adenocarcinoma of intestinal type arising in mature cystic teratoma of ovary in a young female: An incidental finding

Mature cystic teratoma (MCT) is commonest germ cell tumor of ovary. In 1-2% of MCTs malignant transformation is known to occur. Most of the malignancies originating from MCTs are squamous cell carcinomas and adenocarcino...

Download PDF file
  • EP ID EP313024
  • DOI 10.18231/2394-6792.2017.0064
  • Views 56
  • Downloads 0

How To Cite

Ashwini B. R. , Hafsa Saif, Siddiq M. Ahmed (2017). Importance of Histopathology in Routine Cholecystectomies. Indian Journal of Pathology and Oncology, 4(2), 313-317. https://europub.co.uk/articles/-A-313024