Rethinking the value of sending tonsil specimens for histopathological examination
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 6, Issue 1
Abstract
Background: Tonsillectomy is one of the most common surgical procedures performed in children, also done in adults when indicated. It is either done alone or combined with adenoidectomy. As a routine in ENT surgeries, we subject the tissue specimens for histopathological examination. Aims and Objectives: To evaluate the incidence of unexpected histological diagnosis in tonsil specimens removed after tonsillectomy. Also to know the cost effectiveness and financial burden of histopathology on tonsil specimens. Is it really required Materials and Methods: It is a retrospective study wherein 150 patients who underwent tonsillectomy were studied. A total of 300 tonsils from 150 patients were screened from past medical records during a one year period of Jan 2016 to Jan 2017. All cases belong to our institute, Bhaskar Medical College/ General Hospital, Yenkapally village, Moinabad belt, Telangana. Results: Out of 150 patients, 43.33 % were males and 56.66% females. From this, we had a total of 118 children i.e. 78% and 32 adults i.e. 22%. Maximum number of patients belong to the age group 1- 10 years (58.66%) and least in the age group of 41-50 years (0.66%). 95% of the tonsil specimens showed follicular or lymphoid hyperplasia. 5% were with added inflammation.2% of the adult tonsils showed fibrosis. 1 case (0.6%) of tonsillar cyst seen and 2 cases (1.2%) of tonsilloliths seen in our study. No evidence of actinomycetes colony or presence of any malignant cells. Conclusion: From our study, we conclude that the histopathological examination of tonsil specimen post tonsillectomy is majorly for legal or ethical issues i.e. as an evidence to claim later that the tissue removed during surgery was nothing but tonsil. So, the routine screening of tonsil specimen, as we all authors agree, is not required unless preoperatively indicated. It can save time, money and will lessen the burden on pathologist.
Authors and Affiliations
P Ramakrishnaiah, Juveria Majeed, S Indira Devi, N Radhakrishna, R Vijaykumar, Snigdha Gadireddy
Keywords
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