Routine histopathologic examination of “benign-anal lesions: is it necessary?

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• 作者：Xiaosheng He ; Juanni Huang ; Jinbin Yao ; Zexian Chen ; Lei Lian ; Senmao Li…
• 关键词：Routine histopathologic examination ; Hemorrhoid ; Anal fistula
• 刊名：Surgery Today
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：45
• 期：4
• 页码：416-421
• 全文大小：601 KB
• 参考文献：1. Matthyssens, LE, Ziol, M, Barrat, C, Champault, GG (2006) Routine surgical pathology in general surgery. Br J Surg 93: pp. 362-368 CrossRef
  2. Smoot, ER (1988) Does this go to pathology?. Plast Reconstr Surg 81: pp. 809 CrossRef
  3. Strobel, SL (2006) Enhancing the pathologist’s role at hospital tumor boards. Ann Clin Lab Sci 36: pp. 243-247
  4. Murata, T (2006) Pathology service and practice: solo-practice pathologist in a community hospital in Japan: personal experience and a proposal for cost- and time-effective practice. Pathol Int 56: pp. 480-483 CrossRef
  5. Swank, HA, Eshuis, EJ, Ubbink, DT, Bemelman, WA (2011) Is routine histopathological examination of appendectomy specimens useful? a systematic review of the literature. Colorectal Dis 13: pp. 1214-1221 CrossRef
  6. Fitzgibbons, P, Cleary, K (1996) CAP offers recommendations on selecting surgical specimens for examination. CAP Today 10: pp. 40
  7. Miller, GG, McDonald, SE, Milbrandt, K, Chibbar, R (2003) Routine pathological evaluation of tissue from inguinal hernias in children is unnecessary. Can J Surg 46: pp. 117-119
  8. McKeon, K, Boyer, MI, Goldfarb, CA (2006) Use of routine histologic evaluation of carpal ganglions. J Hand Surg Am 31: pp. 284-288 CrossRef
  9. Erdag, TK, Ecevit, MC, Guneri, EA, Dogan, E, Ikiz, AO, Sutay, S (2005) Pathologic evaluation of routine tonsillectomy and adenoidectomy specimens in the pediatric population: is it really necessary?. Int J Pediatr Otorhinolaryngol 69: pp. 1321-1325 CrossRef
  10. Cross, SS, Stone, JL (2002) Proactive management of histopathology workloads: analysis of the UK Royal College of Pathologists-recommendations on specimens of limited or no clinical value on the workload of a teaching hospital gastrointestinal pathology service. J Clin Pathol 55: pp. 850-852 CrossRef
  11. Lohsiriwat, V, Vongjirad, A, Lohsiriwat, D (2009) Value of routine histopathologic examination of three common surgical specimens: appendix, gallbladder, and hemorrhoid. World J Surg 33: pp. 2189-2193 CrossRef
  12. Chan, W, Fu, KH (1987) Value of routine histopathological examination of appendices in Hong Kong. J Clin Pathol 40: pp. 429-433 CrossRef
  13. Modlin, IM, Sandor, A (1997) An analysis of 8305 cases of carcinoid tumors. Cancer 79: pp. 813-829 CrossRef
  14. Maqbool, A, Lintner, R, Bokhari, A, Habib, T, Rahman, I, Rao, BK (2004) Anorectal melanoma- case reports and a review of the literature. Cutis 73: pp. 409-413
  15. Smith, DN, Cataldo, PA (1999) Perianal lymphoma in a heterosexual and nonimmunocompromised patient: report of a case and review of the literature. Dis Colon Rectum 42: pp. 952-954 CrossRef
  16. Ky, A, Sohn, N, Weinstein, MA, Korelitz, BI (1998) Carcinoma arising in anorectal fistulas of Crohn’s disease. Dis Colon Rectum 41: pp. 992-996 CrossRef
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Abdominal Surgery
  Thoracic Surgery
  Vascular Surgery
  Cardiac Surgery
  Surgical Oncology
  
• 出版者：Springer Japan
• ISSN：1436-2813

文摘

Purpose To establish the necessity of routine histopathologic examination of specimens from hemorrhoids and anal fistula that are diagnosed preoperatively. Methods We reviewed histopathologic reports from hemorrhoidectomy and anal fistula excision operations performed between 2007 and 2011 in the sixth affiliated hospital of Sun Yat-sen University and Guangdong Province Traditional Chinese Medical Hospital. We evaluated the incidence of unexpected pathologic malignancy and its impact on postoperative management. Results Among the 10532 patients recruited, 8308 had undergone hemorrhoidectomy and 2224 had undergone excision of an anal fistula. Unexpected pathologic malignancy was discovered in 17 specimens (0.16?%). Overall and subgroup analysis for risk factors of malignant detection revealed unexpected pathologic malignancy was more likely to be found in people over the age of 60?years (OR?=?5.516, P?=?0.002 overall and OR?=?5.442, P?=?0.007 for hemorrhoids). Conclusion Routine histopathologic examination of specimens from patients undergoing hemorrhoid or anal fistula surgery is of value for identifying unexpected pathologic malignancy. An age older than 60?years may be a remarkable risk factor.