Routine Evaluation of Adult Tonsillectomy Specimens: Toward Establishing a New Standard of Care
Routine Evaluation of Adult Tonsillectomy Specimens: Toward Establishing a New Standard of Care
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DOI：
10.1177/1066896911402069
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发表时间：
2011-08-01
影响因子：
1.2
通讯作者：
Sadow, Peter M.
中科院分区：
文献类型：
--
作者：
Courville, Elizabeth L.;Lew, Madelyn;Sadow, Peter M.
扁桃体切除术是儿童和成人的常见手术。先前的研究一致表明扁桃体标本的恶性肿瘤发生率很低，真正的、隐匿性恶性肿瘤的可能性很小。实践趋势只接受豁免或肉眼检查的儿科扁桃体切除术分诊。然而，对于成人，尽管恶性率低，扁桃体切除标本的常规组织学评价是大多数医疗机构的标准治疗。作者回顾性分析了45个月内在其科室收到的所有扁桃体标本，并对病理诊断和手术适应证进行了分类。在此期间取出的1746例成人扁桃体切除术标本中，无偶发/隐匿性恶性肿瘤。这些数据表明，成人扁桃体切除术标本切除慢性扁桃体炎或睡眠呼吸暂停的大体检查是合理的做法，这与其他已发表的数据，提供了共识的实践指南的基础。
Tonsil excision is a common surgery for both children and adults. Prior studies have consistently shown that the rate of malignancy in tonsil specimens is low and that the possibility of true, occult malignancy is remote. Practice trends accept triage of pediatric tonsillectomies for exemption or gross exam only. However, for adults, despite a low malignancy rate, routine histological evaluation of tonsillectomy specimens is standard of care at most health care facilities. The authors performed a retrospective review of all tonsil specimens received in their department over 45 months with categorization of pathological diagnosis and surgical indication. Of 1746 adult tonsillectomy specimens removed during this time, there were no incidental/occult malignancies. These data indicate that gross examination of adult tonsillectomy specimens excised for chronic tonsillitis or sleep apnea is sound practice, and this, taken together with other published data, provides a basis for consensus-derived practice guidelines.