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Pilonidal Sinüs Hastalığında Cerrahi Numunenin Histopatolojik İncelenmesinin Önemi

Year 2023, Volume: 7 Issue: 3, 353 - 356, 20.12.2023
https://doi.org/10.46332/aemj.1252292

Abstract

Amaç: Pilonidal sinüs hastalığı yaygın olmasına rağmen, ilişkili malignite gelişimi çok nadirdir. Cerrahi tedaviden sonra çoğu cerrah eksizyon materyalini histopatolojik inceleme için gönderir. Bu çalışmanın amacı, pilonidal sinüs cerrahi eksizyon materyalinin rutin olarak histopatolojik incelemeye gönderilmesinin önemini incelemekti.

Araçlar ve Yöntem: Genel cerrahi kliniğine elektif olarak başvuran 18 yaş üstü hastaların hepsi çalışmaya dahil edildi. Hastaların demografik bilgileri kaydedilmiş ve tüm hastalardan alınan histopatolojik örneklerin sonuçları incelendi. Malign ve benign olarak ikiye ayrıldı.

Bulgular: Çalışmaya alınan 665 hastanın 551’i (%82.85) erkek, 114’ü (%17.15) kadın idi. Histopatolojik incelemede maligniteye rastlanmadı.

Sonuç: Bu çalışmada histopatolojik olarak malignite raporlanmadı. Bu sonuca göre; cerrahi eksizyon numunesinin rutin olarak histopatolojik incelenmesinin gerekli olup olmadığının düşünülmesi sorusunu doğrulamaktadır.

References

  • 1. Nixon AT, Garza RF. Pilonidal Cyst And Sinus. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2022, StatPearls Publishing LLC.; 2023.
  • 2. Salih AM, Hammood ZD, Abdullah HO, et al. Pilonidal sinus of breast, a case report with literature review. Ann Med Surg (Lond). 2022;73:103138.
  • 3. Akin T, Akin M, Ocakli S, Birben B, Er S, Tez M. Is It Necessary to Perform a Histopathological Examination of Pilonidal Sinus Excision Material? Am Surg. 2022;88(6):1230-1233.
  • 4. Johnson EK, Vogel JD, Cowan ML, Feingold DL, Steele SR. The American Society of Colon and Rectal Surgeons' Clinical Practice Guidelines for the Management of Pilonidal Disease. Dis Colon Rectum. 2019;62(2):146-157.
  • 5. Delvecchio A, Laforgia R, Sederino MG, et al. Squamous carcinoma in pilonidalis sinus: case report and review of literature. G Chir. 2019;40(1):70-74.
  • 6. Meinero P, La Torre M, Lisi G, et al. Endoscopic pilonidal sinus treatment (EPSiT) in recurrent pilonidal disease: a prospective international multicenter study. Int J Colorectal Dis. 2019;34(4):741-746.
  • 7. Michalopoulos N, Sapalidis K, Laskou S, Triantafyllou E, Raptou G, Kesisoglou I. Squamous cell carcinoma arising from chronic sacrococcygeal pilonidal disease: a case report. World J Surg Oncol. 2017;15(1):65.
  • 8. Tirone A, Gaggelli I, Francioli N, Venezia D, Vuolo G. [Malignant degeneration of chronic pilonidal cyst. Case report]. Ann Ital Chir. 2009;80(5):407-409.
  • 9. Vertaldi S, Anoldo P, Cantore G, et al. Histopathological Examination and Endoscopic Sinusectomy: Is It Possible? Front Surg. 2022;9:793858.
  • 10. Konrad Wroński KX. A rare case of squamous cell carcinoma arising from chronic sacrococcygeal pilonidal disease. Ann Ital Chir. 2019;8:1-3.
  • 11. Parpoudi SN, Kyziridis DS, Patridas D, et al. Is histological examination necessary when excising a pilonidal cyst? Am J Case Rep. 2015;16:164-168.
  • 12. De Bree E, Zoetmulder FA, Christodoulakis M, Aleman BM, Tsiftsis DD. Treatment of malignancy arising in pilonidal disease. Ann Surg Oncol. 2001;8(1):60-64.
  • 13. Abboud B, Ingea H. Recurrent squamous-cell carcinoma arising in sacrococcygeal pilonidal sinus tract: report of a case and review of the literature. Dis Colon Rectum. 1999;42(4):525-528.
  • 14. Otutaha B, Park B, Xia W, Hill AG. Pilonidal sinus: is histological examination necessary? ANZ J Surg. 2021;91(7-8):1413-1416.
  • 15. Boulanger G, Abet E, Brau-Weber AG, et al. Is histological analysis of pilonidal sinus useful? Retrospective analysis of 731 resections. J Visc Surg. 2018;155(3):191-194.
  • 16. Yuksel ME, Tamer F. All pilonidal sinus surgery specimens should be histopathologically evaluated in order to rule out malignancy. J Visc Surg. 2019;156(5): 469-470.
  • 17. Maione F, D'Amore A, Milone M, et al. Endoscopic approach to complex or recurrent pilonidal sinus: A retrospective analysis. Int Wound J. 2023;20(4):1212-1218.
  • 18. Olcucuoglu E, Şahin A. Unroofing curettage for treatment of simple and complex sacrococcygeal pilonidal disease. Ann Surg Treat Res. 2022;103(4):244-251.

The Importance of Histopathological Examination of the Surgical Spesimen in Pilonidal Sinus Disease

Year 2023, Volume: 7 Issue: 3, 353 - 356, 20.12.2023
https://doi.org/10.46332/aemj.1252292

Abstract

Purpose: Although pilonidal sinus disease is common, associated malignancy is very rare. After surgical treatment, most surgeons send the excision material for histopathological examination. The aim of this study was to examine the importance of routinely sending pilonidal sinus surgical excision material for histopathological examination for this examination.

Materials and Methods: All patients aged 18 and above who applied to the general surgery clinic electively were included in the study. Demographic information of the patients was recorded and the results of histopathological samples taken from all patients were analyzed, categorizing them as either malignant or benign.

Results: In the study, out of the 665 patients included, 551 (82.85%) were male, while 114 (17.15%) were female. Histopathological examination did not reveal any malignancy.

Conclusion: No malignancy was reported histopathologically in this study. According to this result; This confirms the question of whether routine histopathological examination of the surgical excision specimen should be considered.

References

  • 1. Nixon AT, Garza RF. Pilonidal Cyst And Sinus. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2022, StatPearls Publishing LLC.; 2023.
  • 2. Salih AM, Hammood ZD, Abdullah HO, et al. Pilonidal sinus of breast, a case report with literature review. Ann Med Surg (Lond). 2022;73:103138.
  • 3. Akin T, Akin M, Ocakli S, Birben B, Er S, Tez M. Is It Necessary to Perform a Histopathological Examination of Pilonidal Sinus Excision Material? Am Surg. 2022;88(6):1230-1233.
  • 4. Johnson EK, Vogel JD, Cowan ML, Feingold DL, Steele SR. The American Society of Colon and Rectal Surgeons' Clinical Practice Guidelines for the Management of Pilonidal Disease. Dis Colon Rectum. 2019;62(2):146-157.
  • 5. Delvecchio A, Laforgia R, Sederino MG, et al. Squamous carcinoma in pilonidalis sinus: case report and review of literature. G Chir. 2019;40(1):70-74.
  • 6. Meinero P, La Torre M, Lisi G, et al. Endoscopic pilonidal sinus treatment (EPSiT) in recurrent pilonidal disease: a prospective international multicenter study. Int J Colorectal Dis. 2019;34(4):741-746.
  • 7. Michalopoulos N, Sapalidis K, Laskou S, Triantafyllou E, Raptou G, Kesisoglou I. Squamous cell carcinoma arising from chronic sacrococcygeal pilonidal disease: a case report. World J Surg Oncol. 2017;15(1):65.
  • 8. Tirone A, Gaggelli I, Francioli N, Venezia D, Vuolo G. [Malignant degeneration of chronic pilonidal cyst. Case report]. Ann Ital Chir. 2009;80(5):407-409.
  • 9. Vertaldi S, Anoldo P, Cantore G, et al. Histopathological Examination and Endoscopic Sinusectomy: Is It Possible? Front Surg. 2022;9:793858.
  • 10. Konrad Wroński KX. A rare case of squamous cell carcinoma arising from chronic sacrococcygeal pilonidal disease. Ann Ital Chir. 2019;8:1-3.
  • 11. Parpoudi SN, Kyziridis DS, Patridas D, et al. Is histological examination necessary when excising a pilonidal cyst? Am J Case Rep. 2015;16:164-168.
  • 12. De Bree E, Zoetmulder FA, Christodoulakis M, Aleman BM, Tsiftsis DD. Treatment of malignancy arising in pilonidal disease. Ann Surg Oncol. 2001;8(1):60-64.
  • 13. Abboud B, Ingea H. Recurrent squamous-cell carcinoma arising in sacrococcygeal pilonidal sinus tract: report of a case and review of the literature. Dis Colon Rectum. 1999;42(4):525-528.
  • 14. Otutaha B, Park B, Xia W, Hill AG. Pilonidal sinus: is histological examination necessary? ANZ J Surg. 2021;91(7-8):1413-1416.
  • 15. Boulanger G, Abet E, Brau-Weber AG, et al. Is histological analysis of pilonidal sinus useful? Retrospective analysis of 731 resections. J Visc Surg. 2018;155(3):191-194.
  • 16. Yuksel ME, Tamer F. All pilonidal sinus surgery specimens should be histopathologically evaluated in order to rule out malignancy. J Visc Surg. 2019;156(5): 469-470.
  • 17. Maione F, D'Amore A, Milone M, et al. Endoscopic approach to complex or recurrent pilonidal sinus: A retrospective analysis. Int Wound J. 2023;20(4):1212-1218.
  • 18. Olcucuoglu E, Şahin A. Unroofing curettage for treatment of simple and complex sacrococcygeal pilonidal disease. Ann Surg Treat Res. 2022;103(4):244-251.
There are 18 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Original Articles
Authors

Serdar Sahin 0000-0002-8398-2219

Early Pub Date October 11, 2023
Publication Date December 20, 2023
Published in Issue Year 2023 Volume: 7 Issue: 3

Cite

APA Sahin, S. (2023). Pilonidal Sinüs Hastalığında Cerrahi Numunenin Histopatolojik İncelenmesinin Önemi. Ahi Evran Medical Journal, 7(3), 353-356. https://doi.org/10.46332/aemj.1252292
AMA Sahin S. Pilonidal Sinüs Hastalığında Cerrahi Numunenin Histopatolojik İncelenmesinin Önemi. Ahi Evran Med J. December 2023;7(3):353-356. doi:10.46332/aemj.1252292
Chicago Sahin, Serdar. “Pilonidal Sinüs Hastalığında Cerrahi Numunenin Histopatolojik İncelenmesinin Önemi”. Ahi Evran Medical Journal 7, no. 3 (December 2023): 353-56. https://doi.org/10.46332/aemj.1252292.
EndNote Sahin S (December 1, 2023) Pilonidal Sinüs Hastalığında Cerrahi Numunenin Histopatolojik İncelenmesinin Önemi. Ahi Evran Medical Journal 7 3 353–356.
IEEE S. Sahin, “Pilonidal Sinüs Hastalığında Cerrahi Numunenin Histopatolojik İncelenmesinin Önemi”, Ahi Evran Med J, vol. 7, no. 3, pp. 353–356, 2023, doi: 10.46332/aemj.1252292.
ISNAD Sahin, Serdar. “Pilonidal Sinüs Hastalığında Cerrahi Numunenin Histopatolojik İncelenmesinin Önemi”. Ahi Evran Medical Journal 7/3 (December 2023), 353-356. https://doi.org/10.46332/aemj.1252292.
JAMA Sahin S. Pilonidal Sinüs Hastalığında Cerrahi Numunenin Histopatolojik İncelenmesinin Önemi. Ahi Evran Med J. 2023;7:353–356.
MLA Sahin, Serdar. “Pilonidal Sinüs Hastalığında Cerrahi Numunenin Histopatolojik İncelenmesinin Önemi”. Ahi Evran Medical Journal, vol. 7, no. 3, 2023, pp. 353-6, doi:10.46332/aemj.1252292.
Vancouver Sahin S. Pilonidal Sinüs Hastalığında Cerrahi Numunenin Histopatolojik İncelenmesinin Önemi. Ahi Evran Med J. 2023;7(3):353-6.

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