关键词: EPSiT VAAPS histopathological examination (HPE) malignant degeneration pilonidal disease EPSiT VAAPS histopathological examination (HPE) malignant degeneration pilonidal disease

来  源:   DOI:10.3389/fsurg.2022.793858   PDF(Pubmed)

Abstract:
UNASSIGNED: Although carcinomatous degeneration is a rare occurrence, some authors support the need for a histopathological examination after pilonidal cyst excision. Today, minimally invasive techniques are widely spread for the treatment of pilonidal sinus disease but opposed to standard procedures, these techniques could not allow to perform a histopathological examination because of the absence of a specimen. The aim of this two-institutions study is to evaluate whether histopathological examination of the pilonidal sinus excision material can be successfully performed after an endoscopic ablation of the cyst.
UNASSIGNED: We identified all consecutive patients from January 2021 to September 2021 with diagnosis of pilonidal sinus disease who underwent Video Assisted Ablation of Pilonidal Sinus (VAAPS) followed by histopathological examination.
UNASSIGNED: A total of 45 patients were included in the study. All patients were Caucasians and aged below 50 years. Nine of them underwent surgery due to recurrence of PSD. No evidence of malignancy was detected in the histopathological examination of the pilonidal sinus sampling material.
UNASSIGNED: We were able to send pilonidal sinus sampling material for a histopathological examination in all patients who underwent minimally invasive technique for the treatment of pilonidal sinus disease. No evidence of malignancy was found in any of the 45 samples. Our findings prove that minimally invasive ablation of pilonidal sinus does not preclude histopathological examination of the cysts.
摘要:
未经证实:虽然癌变是罕见的,一些作者支持在取毛囊肿切除后需要进行组织病理学检查。今天,微创技术广泛用于治疗藏毛窦疾病,但与标准程序相反,由于没有标本,这些技术无法进行组织病理学检查。这项由两机构组成的研究的目的是评估在内窥镜消融囊肿后是否可以成功进行藏毛窦切除材料的组织病理学检查。
UNASSIGNED:我们确定了2021年1月至2021年9月所有连续诊断为毛发窦疾病的患者,这些患者接受了视频辅助的毛发窦消融(VAAPS),然后进行组织病理学检查。
UNASSIGNED:本研究共纳入45例患者。所有患者均为白种人,年龄在50岁以下。其中9人因PSD复发而接受了手术。在藏毛窦采样材料的组织病理学检查中未发现恶性肿瘤的证据。
UNASSIGNED:我们能够发送藏毛窦取样材料,对所有接受微创技术治疗藏毛窦病的患者进行组织病理学检查。在45个样本中没有发现恶性肿瘤的证据。我们的发现证明,对藏毛窦进行微创消融并不排除对囊肿进行组织病理学检查。
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