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Journals / KBB-Forum / 2019 / Cilt: 18 - Sayı: 1

WHY IS ROUTINE ADENOIDECTOMY/TONSILLECTOMY/ADENOTONSILLECTOMY SPECIMEN EXAMINATION NECESSARY, WHY IS IT NOT NECESSARY?

RUTİN ADENOİDEKTOMİ/TONSİLLEKTOMİ/ADENOTONSİLLEKTOMİ SPESMEN İNCELEMESİ NEDEN GEREKLİ, NEDEN GEREKLİ DEĞİL?

Mümtaz Taner TORUN
Journal
KBB-Forum
Pages
17–21
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition, these investigations may be necessary for medico-legal aspects.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: The necessity of examining routine adenoidectomy / tonsillectomy / adenotonsillectomy specimens in terms of time and cost is a matter of debate.
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Key Findings & Data:In our study, we aimed to evaluate the histopathological examination results and to determine the unexpected malignancy rates.
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Conclusion & Impact:In addition, these investigations may be necessary for medico-legal aspects.
🔬Design:Review & Systematic Survey
📍Scope:2014-2018 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: The necessity of examining routine adenoidectomy / tonsillectomy / adenotonsillectomy specimens in terms of time and cost is a matter of debate. In our study, we aimed to evaluate the histopathological examination results and to determine the unexpected malignancy rates. Material and Methods: 555 adult and pediatric patients who underwent adenoidectomy / tonsillectomy / adenotonsillectomy at our clinic between 2014-2018 included in the study. Patient files were reviewed retrospectively. Results: Of 555 patients, 49 were adult (18 years and over) and 506 were pediatric age group. While 550 patients had benign reports, 5 patients (1 pediatric, 4 adult cases) reported as suspicion of malignancy. As a result of further investigation of cases with suspected malignancy, 1 pediatric cases and 1 adult were diagnosed as malignancy. Different benign reports were chronic lymphoid hyperplasia, reactive follicular hyperplasia, polypoid formation, epidermoid cyst and actinomyces colonization. Conclusion: In our study, the detection of lymphoma in a pediatric patient who did not have any clinical findings is suggesting that routine specimens should also be examined. In addition, these investigations may be necessary for medico-legal aspects.

Özet

Giriş: Rutin adenoidektomi / tonsillektomi / adenotonsillektomi spesmenlerinin incelenmesinin zaman ve maliyet açısından gerekliliği tartışma konusudur. Çalışmamızda histopatolojik inceleme sonuçlarının değerlendirilmesi, beklenmedik malignite oranlarının belirlenmesi amaçlanmaktadır. Yöntem ve Gereçler: Çalışmaya 2014-2018 tarihleri arasında kliniğimizde adenoidektomi / tonsillektomi / adenotonsillektomi uygulanan erişkin ve pediatrik 555 olgu dahil edildi. Hasta dosyaları retrospektif olarak tarandı. Bulgular: 555 hastanın 49'u erişkin (18 yaş ve üzeri), 506'sı pediatrik yaş grubundaydı. 550 hastada benign rapor çıkarken 5 hastada (1 pediatrik, 4 erişkin olgu) malignite şüphesi rapor edilmiştir. Malignite şüphesi rapor edilen olguların ileri incelemesi sonucu 1 pediatrik, 1 erişkin olmak üzere 2 olguda malignite tanısı konmuştur. Benign raporlarda ise kronik lenfoid hiperplazi, reaktif follikül hiperplazisi, polipoid oluşum, epidermoid kist va aktinomiçes kolonizasyonu gibi farklı sonuçlar rapor edilmiştir. Sonuç: Çalışmamızda klinik bulgu vermeyen pediatrik bir olguda lenfoma tespit edilmesi bizi rutin spesmenlerin de incelenmesi gerektiği yönüne itmektedir. Bunun yanında medikolegal açıdan da bu incelemeler gerekli olabilmektedir.

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Cite This Article

TORUN, M. T. (2019). WHY IS ROUTINE ADENOIDECTOMY/TONSILLECTOMY/ADENOTONSILLECTOMY SPECIMEN EXAMINATION NECESSARY, WHY IS IT NOT NECESSARY?. KBB-Forum, Cilt: 18 - Sayı: 1, 17–21. https://ajindex.com/articles/209296

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