IS HISTOPATHOLOGICAL EXAMINATION OF EXCISION MATERIAL IN PILONIDAL SINUS SURGERIES A WASTE OF COST, TIME AND LABOR?

Year 2023, Volume: 2 Issue: 4, 194 - 197, 25.12.2023

Doğan Erdoğan , Aylin Gönültaş

https://doi.org/10.57221/izmirtip.1297487

Abstract

INTRODUCTION
Pilonidal 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.

RESULTS
Of 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.

CONCLUSION
No 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.

Keywords

Pilonidal sinus disease, malignancy, histopathological examination

Project Number

YOK

Pilonidal Sinüs Sinüs Ameliyatlarında Eksizyon Materyalinin Histopatolojik İncelemesi Maliyet, Zaman ve İş Gücü Kaybı Mı?

Abstract

GİRİŞ
Pilonidal 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.

BULGULAR
Çalışmaya 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.

SONUÇ
Histopatolojik 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.

Keywords

PİLONİDAL SİNÜS HASTALIĞI, MALİGNİTE, HİSTOPATOLOJİK İNCELEME

Supporting Institution

YOK

Project Number

YOK

Thanks

YOK

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