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Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries

Year 2011, Volume: 3 Issue: 3, 1 - 5, 01.08.2011

Adebolajo Adeyemo , Clement Okolo Segun Ogunkeyede

Abstract

Objective:
Healthcare costs are usually borne directly by patients or relations in developing countries; therefore reducing waste in the system is very important. This study aims to determine the necessity of full histopathology examination in routine tonsillectomy and adenoidectomy in children.
Methods:
A retrospective chart review of patients 18 years and younger who underwent tonsillectomy and/or adenoidectomy between January 1986 and December 2006 at the University College Hospital, Ibadan, Nigeria was done. The age, sex, surgical procedure and pathology results were recorded. Histology reports were broadly classified into: non-neoplastic and neoplastic pathologies. Charts of neoplastic pathologies were pulled and the medical history reviewed.
Results:
A total of 244 patients met the inclusion criteria with a mean age of 5.3 ±4.7 years. There were 150 males (61.5%) and 94 females (38.5%). Tonsillectomy and adenoidectomy were performed together on 74 patients (30.3%) while tonsillectomy and adenoidectomy alone were performed on 60 (24.6%) and 110 (44.7%) patients, respectively. Review of the pathology reports revealed two cases of malignancies with an incidence of 0.82%.
Conclusion:
Medico-legal factors will suggest the review of all surgical specimens. Therefore it is important to identify innovative approaches to reduce costs of histopathology examination in routine tonsillectomies and adenoidectomies.

Keywords

Tonsillectomy; Adenoidectomy; Histology; Pathology; Neoplasm; Malignancy

References

  • Dohar JE and Bonilla JA. Processing of adenoid and tonsil specimens in children: a national survey of standard practices and a five-year review of the experience at the Children's Hospital of Pittsburgh. Otolaryngol. Head Neck Surg, 1996; 115: 94–97.
  • Starry AC. Pathology of the tonsil with statistical report and microscopic study. Ann Otol Rhino Laryngol, 1939; 48: 346-358.
  • 3.Weibel E. Pathological findings of clinical value in tonsils and adenoids. Acta Otolaryngol, 1965; 60: 331–338.
  • Williams MD and Brown HM The adequacy of gross pathological examination of routine tonsils and adenoids in patients 21 years old and younger. Hum. Pathol, 2003; 34: 1053–1057. 5. Alvi A and Vartanian AJ. Microscopic examination of routine tonsillectomy specimens: is it necessary? Otolaryngol. Head Neck Surg, 1998; 119: 361–363.
  • Sodagar R and Mohallatee EA. Necessity of routine pathological examination of tonsils, Eye Ear Nose Throat J, 1972; 51: 229–230.
  • Daneshbod K, Bhutta RA and Sodagar R. Pathology of tonsils and adenoids: a study of 15, 120 cases, Ear Nose Throat J, 1980; 59: 466–467.
  • Erdag TK, Ecevit MC, Guneri EA, Dogan E, Ikiz AO and Sutay S. Pathologic evaluation of routine tonsillectomy and adenoidectomy specimens in the pediatric population: Is it really necessary? Int. J. Pediatr. Otorhinolaryngol, 2005; 69: 1321- 1325
  • Hicks J and Flaitz C. Mucoepidermoid carcinoma of salivary glands in children and adolescents: assessment Oncology, 2000; 36: 454-460 markers. Oral
  • Beaty MM, Funk GF, Karnell LH, Graham SM, McCulloch TM and Hoffman HT et al. Risk factors for malignancy in adult tonsils. Head Neck, 1998; 20: 399–403.
  • Ruymann FB, Grovas AC. Progress in the diagnosis and treatment of rhabdomyosarcoma and related soft tissue sarcomas. Cancer Invest, 2000; 18: 223-241.
  • O'Sullivan B, Audet N, Catton CN, Gullane PJ. Soft Tissue and Bone Sarcomas of the Head and Neck. In: Harrison LB, Sessions RB, Hong WK, Kies, MS, et al (editors). Head and Neck Cancer: A Multidisciplinary Approach, second edition, Philadelphia; Lippincott Williams & Wilkins, 2004; 787-823 13. Brown BJ, Oluwasola AO. Childhood rhabdomyosarcoma in Ibadan, Nigeria: 1984- 2003. Ann Trop Paediatr, 2006; 26(4): 349-55.
  • Netser JC, Robinson RA, Smith RJ and Raab SS. Value based pathology: a cost analysis of the examination of routine and nonroutine tonsil and adenoid specimens. Am. J. Clin. Pathol, 1987; 108: 158–165.
  • FAO., 2006. FAOSTAT, food security statistics, Nigeria. http://www.fao.org/faostat/foodsecurity/ Countries/EN/Nigeria_e.pdf. Food and Agri- cultural Organization of the United Nations, Rome.

Year 2011, Volume: 3 Issue: 3, 1 - 5, 01.08.2011

Adebolajo Adeyemo , Clement Okolo Segun Ogunkeyede

Abstract

References

  • Dohar JE and Bonilla JA. Processing of adenoid and tonsil specimens in children: a national survey of standard practices and a five-year review of the experience at the Children's Hospital of Pittsburgh. Otolaryngol. Head Neck Surg, 1996; 115: 94–97.
  • Starry AC. Pathology of the tonsil with statistical report and microscopic study. Ann Otol Rhino Laryngol, 1939; 48: 346-358.
  • 3.Weibel E. Pathological findings of clinical value in tonsils and adenoids. Acta Otolaryngol, 1965; 60: 331–338.
  • Williams MD and Brown HM The adequacy of gross pathological examination of routine tonsils and adenoids in patients 21 years old and younger. Hum. Pathol, 2003; 34: 1053–1057. 5. Alvi A and Vartanian AJ. Microscopic examination of routine tonsillectomy specimens: is it necessary? Otolaryngol. Head Neck Surg, 1998; 119: 361–363.
  • Sodagar R and Mohallatee EA. Necessity of routine pathological examination of tonsils, Eye Ear Nose Throat J, 1972; 51: 229–230.
  • Daneshbod K, Bhutta RA and Sodagar R. Pathology of tonsils and adenoids: a study of 15, 120 cases, Ear Nose Throat J, 1980; 59: 466–467.
  • Erdag TK, Ecevit MC, Guneri EA, Dogan E, Ikiz AO and Sutay S. Pathologic evaluation of routine tonsillectomy and adenoidectomy specimens in the pediatric population: Is it really necessary? Int. J. Pediatr. Otorhinolaryngol, 2005; 69: 1321- 1325
  • Hicks J and Flaitz C. Mucoepidermoid carcinoma of salivary glands in children and adolescents: assessment Oncology, 2000; 36: 454-460 markers. Oral
  • Beaty MM, Funk GF, Karnell LH, Graham SM, McCulloch TM and Hoffman HT et al. Risk factors for malignancy in adult tonsils. Head Neck, 1998; 20: 399–403.
  • Ruymann FB, Grovas AC. Progress in the diagnosis and treatment of rhabdomyosarcoma and related soft tissue sarcomas. Cancer Invest, 2000; 18: 223-241.
  • O'Sullivan B, Audet N, Catton CN, Gullane PJ. Soft Tissue and Bone Sarcomas of the Head and Neck. In: Harrison LB, Sessions RB, Hong WK, Kies, MS, et al (editors). Head and Neck Cancer: A Multidisciplinary Approach, second edition, Philadelphia; Lippincott Williams & Wilkins, 2004; 787-823 13. Brown BJ, Oluwasola AO. Childhood rhabdomyosarcoma in Ibadan, Nigeria: 1984- 2003. Ann Trop Paediatr, 2006; 26(4): 349-55.
  • Netser JC, Robinson RA, Smith RJ and Raab SS. Value based pathology: a cost analysis of the examination of routine and nonroutine tonsil and adenoid specimens. Am. J. Clin. Pathol, 1987; 108: 158–165.
  • FAO., 2006. FAOSTAT, food security statistics, Nigeria. http://www.fao.org/faostat/foodsecurity/ Countries/EN/Nigeria_e.pdf. Food and Agri- cultural Organization of the United Nations, Rome.
There are 13 citations in total.

Details

Primary Language English
Journal Section Original Articles
Authors

Adebolajo Adeyemo

Clement Okolo This is me

Segun Ogunkeyede This is me

Publication Date August 1, 2011
Published in Issue Year 2011 Volume: 3 Issue: 3

Cite

APA Adeyemo, A., Okolo, C., & Ogunkeyede, S. (2011). Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries. Journal of Pediatric Sciences, 3(3), 1-5. https://doi.org/10.17334/jps.71789
AMA Adeyemo A, Okolo C, Ogunkeyede S. Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries. Journal of Pediatric Sciences. July 2011;3(3):1-5. doi:10.17334/jps.71789
Chicago Adeyemo, Adebolajo, Clement Okolo, and Segun Ogunkeyede. “Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries”. Journal of Pediatric Sciences 3, no. 3 (July 2011): 1-5. https://doi.org/10.17334/jps.71789.
EndNote Adeyemo A, Okolo C, Ogunkeyede S (July 1, 2011) Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries. Journal of Pediatric Sciences 3 3 1–5.
IEEE A. Adeyemo, C. Okolo, and S. Ogunkeyede, “Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries”, Journal of Pediatric Sciences, vol. 3, no. 3, pp. 1–5, 2011, doi: 10.17334/jps.71789.
ISNAD Adeyemo, Adebolajo et al. “Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries”. Journal of Pediatric Sciences 3/3 (July 2011), 1-5. https://doi.org/10.17334/jps.71789.
JAMA Adeyemo A, Okolo C, Ogunkeyede S. Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries. Journal of Pediatric Sciences. 2011;3:1–5.
MLA Adeyemo, Adebolajo et al. “Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries”. Journal of Pediatric Sciences, vol. 3, no. 3, 2011, pp. 1-5, doi:10.17334/jps.71789.
Vancouver Adeyemo A, Okolo C, Ogunkeyede S. Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries. Journal of Pediatric Sciences. 2011;3(3):1-5.