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Routine Histopathological Evaluation After Appendectomy: Is It Necessary? A Systematic Review
Acute appendicitis is one of the most common reasons for acute abdominal pain. Fecaliths and lymphoid hyperplasia are the usual etiology of acute appendicitis, however, other unusual causes can also not be neglected which can be parasitic infections, benign or malignant lesions. Due to substantial l...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7495960/ https://www.ncbi.nlm.nih.gov/pubmed/32953339 http://dx.doi.org/10.7759/cureus.9830 |
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author | Malhotra, Kashish Bawa, Ashvind |
author_facet | Malhotra, Kashish Bawa, Ashvind |
author_sort | Malhotra, Kashish |
collection | PubMed |
description | Acute appendicitis is one of the most common reasons for acute abdominal pain. Fecaliths and lymphoid hyperplasia are the usual etiology of acute appendicitis, however, other unusual causes can also not be neglected which can be parasitic infections, benign or malignant lesions. Due to substantial lab costs and limited resources, the policy of routine histopathological examination (HPE) of appendectomy samples is being questioned. PubMed, PubMed Central (PMC), and Google Scholar were used to look for relevant published studies. The following keywords were used both alone and in combination: “Acute appendicitis” and “routine histopathological examination”. Fifteen articles were selected for final review that collectively had 57,524 cases. All these studies included in this systematic review are peer-reviewed. Based on the reviewed articles, it was found that though the probability of unusual findings in a patient of acute appendicitis is less but it is still significant and if found, often results in a change of management plan of the patient. Therefore, it is recommended to perform a routine histopathological examination of all appendectomy specimens to rule out unusual pathologies. |
format | Online Article Text |
id | pubmed-7495960 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-74959602020-09-18 Routine Histopathological Evaluation After Appendectomy: Is It Necessary? A Systematic Review Malhotra, Kashish Bawa, Ashvind Cureus Gastroenterology Acute appendicitis is one of the most common reasons for acute abdominal pain. Fecaliths and lymphoid hyperplasia are the usual etiology of acute appendicitis, however, other unusual causes can also not be neglected which can be parasitic infections, benign or malignant lesions. Due to substantial lab costs and limited resources, the policy of routine histopathological examination (HPE) of appendectomy samples is being questioned. PubMed, PubMed Central (PMC), and Google Scholar were used to look for relevant published studies. The following keywords were used both alone and in combination: “Acute appendicitis” and “routine histopathological examination”. Fifteen articles were selected for final review that collectively had 57,524 cases. All these studies included in this systematic review are peer-reviewed. Based on the reviewed articles, it was found that though the probability of unusual findings in a patient of acute appendicitis is less but it is still significant and if found, often results in a change of management plan of the patient. Therefore, it is recommended to perform a routine histopathological examination of all appendectomy specimens to rule out unusual pathologies. Cureus 2020-08-18 /pmc/articles/PMC7495960/ /pubmed/32953339 http://dx.doi.org/10.7759/cureus.9830 Text en Copyright © 2020, Malhotra et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Gastroenterology Malhotra, Kashish Bawa, Ashvind Routine Histopathological Evaluation After Appendectomy: Is It Necessary? A Systematic Review |
title | Routine Histopathological Evaluation After Appendectomy: Is It Necessary? A Systematic Review |
title_full | Routine Histopathological Evaluation After Appendectomy: Is It Necessary? A Systematic Review |
title_fullStr | Routine Histopathological Evaluation After Appendectomy: Is It Necessary? A Systematic Review |
title_full_unstemmed | Routine Histopathological Evaluation After Appendectomy: Is It Necessary? A Systematic Review |
title_short | Routine Histopathological Evaluation After Appendectomy: Is It Necessary? A Systematic Review |
title_sort | routine histopathological evaluation after appendectomy: is it necessary? a systematic review |
topic | Gastroenterology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7495960/ https://www.ncbi.nlm.nih.gov/pubmed/32953339 http://dx.doi.org/10.7759/cureus.9830 |
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