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

Yıl 2011, Cilt: 3 Sayı: 3, 1 - 5, 01.08.2011

Öz

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.

Kaynakça

  • 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.
Yıl 2011, Cilt: 3 Sayı: 3, 1 - 5, 01.08.2011

Öz

Kaynakça

  • 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.
Toplam 13 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Original Articles
Yazarlar

Adebolajo Adeyemo

Clement Okolo Bu kişi benim

Segun Ogunkeyede Bu kişi benim

Yayımlanma Tarihi 1 Ağustos 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 3 Sayı: 3

Kaynak Göster

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. Temmuz 2011;3(3):1-5. doi:10.17334/jps.71789
Chicago Adeyemo, Adebolajo, Clement Okolo, ve Segun Ogunkeyede. “Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries”. Journal of Pediatric Sciences 3, sy. 3 (Temmuz 2011): 1-5. https://doi.org/10.17334/jps.71789.
EndNote Adeyemo A, Okolo C, Ogunkeyede S (01 Temmuz 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, ve S. Ogunkeyede, “Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries”, Journal of Pediatric Sciences, c. 3, sy. 3, ss. 1–5, 2011, doi: 10.17334/jps.71789.
ISNAD Adeyemo, Adebolajo vd. “Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries”. Journal of Pediatric Sciences 3/3 (Temmuz 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 vd. “Evaluation of Histopathology Examination of Routine Tonsillectomy and Adenoidectomy Specimens in Developing Countries”. Journal of Pediatric Sciences, c. 3, sy. 3, 2011, ss. 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.