The Routine Histopathological Examination of Tonsillectomy Specimens at Hospital Universiti Sains Malaysia–Retrospective Study and Its Implication

Article Sidebar

PDF
Published: Jul 31, 2007
DOI: https://doi.org/10.21315/
Keywords:
Histopathology, tonsillectomy specimens

Main Article Content

Irfan Mohamad
Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus 16150 Kubang Kerian, Kelantan, Malaysia
Shahid Hassan
Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus 16150 Kubang Kerian, Kelantan, Malaysia
Rosdan Salim
Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus 16150 Kubang Kerian, Kelantan, Malaysia

Abstract

Tonsillectomy is performed for several indications, the two commonest in practice are infective ( chronic tonsillitis) and obstructive symptoms such as sleep apnea. The objective of this study is to determine the necessity of routinely performed histopathological examination of specimens post-tonsillectomy. In this paper, a retrospective evaluation of 480 specimens from 241 patient who has undergone tonsillectomies in Hospital Universiti Sains Malaysia between January 2004 and October 2005 was done. It was found that 462 (96.25 %) were reactive lymphoid hyperplasia and 18 (3.75 %) were follicular hyperplasia. None of them were found malignant. The result of this study indicate that routine histopathological examination of tonsillectomy specimens are unnecessary and results only in added cost and a loss of man hours.

Article Details

How to Cite
1.
Irfan Mohamad, Shahid Hassan, Rosdan Salim. The Routine Histopathological Examination of Tonsillectomy Specimens at Hospital Universiti Sains Malaysia–Retrospective Study and Its Implication. Malays J Med Sci [Internet]. 2007 Jul. 31 [cited 2026 Oct. 22];14(2):19-21. Available from: https://ejournal.usm.my/mjms/article/view/mjms_vol14-no2-2007_3
Issue
Vol. 14 No. 2 (2007)
Section
Original Articles
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

References

Mubasher Ikram, M Adil A Khan, Muneeb Ahmed, Tanya Siddiqui, Muhammed Yousuf Mian. The histopathology of routine tonsillectomy specimens: Results of a study and review of literature. Ear, Nose & Throat Journal. New York: Nov 2000.Vol. 79, Iss. 11; pp. 880-881.

Alvi A, Vartanian AJ. Microscopic examination of routine tonsillectomy specimens: is it necessary? Otolaryngol Head Neck Surg. 1998 Oct; 119(4): 361-3.

Beaty MM, Funk GF, Karnell LH, Graham SM, McCulloch TM, Hoffman HT, Robinson RA. Risk factors for malignancy in adult tonsils. Head Neck. 1998 Aug; 20(5): 399-403.

Williams MD, Brown HM. The adequacy of gross pathological examination of routine tonsils and adenoids in patients 21 years old and younger. Hum Pathol. 2003 Oct; 34(10): 1053-7.

Erdag TK, Ecevit MC, Guneri EA, Dogan E, Ikiz AO, Sutay S .Pathologic evaluation of routine tonsillectomy and adenoidectomy specimens in the pediatric population: is it really necessary? Int J Pediatr Otorhinolaryngol. 2005 Oct; 69(10): 1321-5.

Younis RT, Hesse SV, Anand VK. Evaluation of the utility and cost-effectiveness of obtaining histopathologic diagnosis on all routine tonsillectomy specimens. Laryngoscope. 2001 Dec; 111(12): 2166-9.

Strong EB, Rubinstein B, Senders CW. Pathologic analysis of routine tonsillectomy and adenoidectomy specimens. Otolaryngol Head Neck Surg. 2001 Nov; 125(5): 473-7.