Is routine histopathology of tonsil specimen necessary?

Abstract

Histopathologic request for tonsillectomy specimens should be based on certain risk factors with consideration of the cost to patients and to spare the histopathologist's man hour.

Routine histological examination of epidermoid cysts; to send or not to send?

“…Everywhere in the world healthcare resources are finite yet subjected to increasing demand, and it is sensible to use limited, and in some cases, diminishing resources, as wisely as possible. The health economic implications of “routine” histological examination of specimens have been explored in other sub-specialties such as colorectal surgery [12], ENT [13], and hepatobiliary surgery [14], particularly where there are alternative approaches [12]. Recent work on routine pathology examination of diminutive polyps in the bowel screening programme as compared with in vivo assessment showed an up to 113-fold reduction in pathology costs with no adverse effect on diagnosis of polyp cancers [12].…”

Histopathological examination of tonsillectomy specimens: Some discussions

“…Sir, We read with great interest the article by Adoga et al, [1] regarding histopathological examination of tonsillectomy specimens. Although this report reveals useful information, there are some areas for discussion upon which we would like to expand.…”

“…This can skew their study results because the differences of the diseases between the two age groups. [5,7] It is, therefore, interesting for the Adoga et al's [1] study to separate the histopathological results between the age groups. [3] Tonsillar malignancy is extremely rare in growing patients, but seems to be more common in adult patients.…”

“…Third, the Adoga et al's [1] inclusion criteria were recurrent tonsillitis, obstructive sleep apnoea (OSA) and snoring, peritonsillar abscess and suspected tumours. It is not known how many specimens from patients with recurrent tonsillitis, OSA and snoring were included in this study.…”

“…[1] The plan has to cover pre-storm evacuation plans to post-crisis management plans. It is believed to be a big disaster having caused losses up to billion US dollars.…”