TY - JOUR T1 - IS HISTOPATHOLOGICAL EXAMINATION OF EXCISION MATERIAL IN PILONIDAL SINUS SURGERIES A WASTE OF COST, TIME AND LABOR? TT - Pilonidal Sinüs Sinüs Ameliyatlarında Eksizyon Materyalinin Histopatolojik İncelemesi Maliyet, Zaman ve İş Gücü Kaybı Mı? AU - Erdoğan, Doğan AU - Gönültaş, Aylin PY - 2023 DA - December DO - 10.57221/izmirtip.1297487 JF - İzmir Tıp Fakültesi Dergisi JO - İzmir Tıp Fak. Derg. PB - University of Health Sciences WT - DergiPark SN - 2822-4833 SP - 194 EP - 197 VL - 2 IS - 4 LA - en AB - INTRODUCTIONPilonidal sinus (PS) surgery is one of the most common operations performed in general surgery. Although different treatments are used nowadays, the main treatment of the disease is still surgical excision. Malignant degeneration is very low in patients with chronic pilonidal sinus.Cases have been reported in the literature as case reports. In this study, we aimed to reveal the necessity of routine histopathological examination of the excision material in PS surgery.MATERIAL & METHODS We have considered patients in our hospital database, who had pilonidal sinus surgery with a diagnosis of PS retrospectively. 939 patients , whose histopathological examination reports of PS excision specimen were accessed , were included in the study.RESULTSOf the 939 patients included in the study, 721 of which (76.8%) are male and 218 of which (23.2%) are female. The mean age of the patients is 25.6 ± 7.4 (min- max :59) years. The number of patients over 50 years was 24 (2.6%). The number of patients operated with recurrent pilonidal sinus was 26 (2.8%). No malignancy was observed in any of the histopathological examinations of 939 excision materials.CONCLUSIONNo malignancy has been detected in any of our PS cases in the histopathological examination. The necessity of routine histopathological examination of PS excision materials should be questioned and discussed. It causes both a waste of time and money. However, it can be considered for the patients over 50, since the literature shows an increase in risk of malignancy after this age. KW - Pilonidal sinus disease KW - malignancy KW - histopathological examination N2 - GİRİŞPilonidal sinüs (PS) genel cerrahide en çok yapılan ameliyatlardan birisidir. Günümüzde farklı tedaviler kullanılmakla birlikte hastalığın başlıca tedavisi hala cerrahi eksizyondur. Kronik pilonidal sinüsü olan hastalarda malign dejenerasyonu oldukça düşüktür.Literatürde olgu sunumu şeklinde vakalar bildirilmiştir. Bu çalışmada, PS cerrahisinde , eksizyon materyalinin rutin olarak yapılan histopatolojik incelemesinin gerekliliğini ortaya koymayı amaçladık.YÖNTEM Hastanemiz veri tabanında kayıtlı PS tanısıyla pilonidal sinüs eksizyonu yapılan hastalar retrospektif olarak değerlendirildi. Pilonidal sinüs eksizyonu piyesinin histopatolojik inceleme raporlarına ulaşılan 939 hasta çalışmaya dahil edildi.BULGULARÇalışmaya dahil edilen 939 PS hastasının 721'i (%76.8) erkek, 218'i (%23.2) kadındı. Hastaların yaş ortalaması 25.6 ± 7.4 (min = 18 ve maks = 59.0) yıldı. 50 yaş üstü hasta sayısı 24 (%2.6) idi. Nüks pilonidal sinüs tanısı ile ameliyat edilenlerin sayısı 26 (%2.8) olarak belirlendi . 939 hastanın eksizyon materyallerinin histopatolojik incelemesinin hiçbirinde malignite görülmedi. SONUÇHistopatolojik inceleme yapılan hiçbir PS vakamızda maligniteye rastlanmadı. PS ekizyon materyallerinin histopatolojik incelemesinin rutin olarak yapılmasının gerekliliği sorgulanmalı ve tartışılmaalıdır. Maliyet ve zaman açısından kayba neden olmaktadır. Ancak literatürde tariflenen şüpheli ve malignite riski artması sebebi ile 50 yaş üstü hastalarda düşünülebilir. CR - References 1-Kuckelman JP. Pilonidal disease: Management and definitive treatment. 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All pilonidal sinus surgery specimens should be histopathologically evaluated in order to rule out malignancy. J Visc Surg. 2019;156:469-70. CR - 14-Yuksel ME, Ordu M. Pilonidal disease specimens of 905 patients revealed no malignancy, however we still insist on histopathological examination. Ann Med Res. 2020;27:810-3. CR - 15-Velitchklov N, Vezdarova M, Losanoff J, Kjossev K, Katrov E. A fatal case of carcinoma arising from a pilonidal sinus tract. Ulster Med J. 2001;70:61-3. UR - https://doi.org/10.57221/izmirtip.1297487 L1 - https://dergipark.org.tr/en/download/article-file/3144304 ER -