Routine Histopathological Evaluation of Benign Anorectal Interventions: Essentiality or Excess?
Objective: To evaluate the necessity of routine histopathological examination in benign anorectal surgeries and to explore the potential for a selective approach based on patient characteristics. Methods: Retrospective analysis of patients who underwent surgery for benign anorectal diseases between...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2024-04-01
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| Series: | Gazi Medical Journal |
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| Online Access: | https://gazimedj.com/articles/routine-histopathological-evaluation-of-benign-anorectal-interventions-essentiality-or-excess/doi/gmj.2024.4134 |
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| _version_ | 1841525589887942656 |
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| author | Ramazan Kozan Enes Aksu Kürşat Dikmen |
| author_facet | Ramazan Kozan Enes Aksu Kürşat Dikmen |
| author_sort | Ramazan Kozan |
| collection | DOAJ |
| description | Objective: To evaluate the necessity of routine histopathological examination in benign anorectal surgeries and to explore the potential for a selective approach based on patient characteristics.
Methods: Retrospective analysis of patients who underwent surgery for benign anorectal diseases between January 2013 and December 2023. Demographic data, surgical procedures, and histopathological findings were assessed.
Results: Among 830 patients, 482 underwent histopathological examination. No malignancy was detected. However, human papilloma virus (HPV)-related lesions were diagnosed in 2.1% of patients. A retrospective design and limited patient population were identified as major limitations.
Conclusion: Routine histopathological examination may be unnecessary for benign anorectal surgeries in patients without HPV-related risk factors. Further large-scale studies are required to determine the criteria for selective examination, optimizing resource usage in clinical practice. |
| format | Article |
| id | doaj-art-f7596d31fb594bc4b45b8b54b04f672d |
| institution | Kabale University |
| issn | 2147-2092 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Gazi Medical Journal |
| spelling | doaj-art-f7596d31fb594bc4b45b8b54b04f672d2025-01-17T10:45:48ZengGalenos Publishing HouseGazi Medical Journal2147-20922024-04-0135220020310.12996/gmj.2024.4134Routine Histopathological Evaluation of Benign Anorectal Interventions: Essentiality or Excess?Ramazan Kozan0https://orcid.org/0000-0002-3835-8759Enes Aksu1https://orcid.org/0009-0002-8334-7618Kürşat Dikmen2https://orcid.org/0000-0002-9150-9499Gazi University Faculty of Medicine, Department of General Surgery, Ankara, TürkiyeGazi University Faculty of Medicine, Department of General Surgery, Ankara, TürkiyeGazi University Faculty of Medicine, Department of General Surgery, Ankara, TürkiyeObjective: To evaluate the necessity of routine histopathological examination in benign anorectal surgeries and to explore the potential for a selective approach based on patient characteristics. Methods: Retrospective analysis of patients who underwent surgery for benign anorectal diseases between January 2013 and December 2023. Demographic data, surgical procedures, and histopathological findings were assessed. Results: Among 830 patients, 482 underwent histopathological examination. No malignancy was detected. However, human papilloma virus (HPV)-related lesions were diagnosed in 2.1% of patients. A retrospective design and limited patient population were identified as major limitations. Conclusion: Routine histopathological examination may be unnecessary for benign anorectal surgeries in patients without HPV-related risk factors. Further large-scale studies are required to determine the criteria for selective examination, optimizing resource usage in clinical practice.https://gazimedj.com/articles/routine-histopathological-evaluation-of-benign-anorectal-interventions-essentiality-or-excess/doi/gmj.2024.4134anal fistulaanal fissurehemorrhoidhuman papilloma viruspathologyroutine histopathologic examination |
| spellingShingle | Ramazan Kozan Enes Aksu Kürşat Dikmen Routine Histopathological Evaluation of Benign Anorectal Interventions: Essentiality or Excess? Gazi Medical Journal anal fistula anal fissure hemorrhoid human papilloma virus pathology routine histopathologic examination |
| title | Routine Histopathological Evaluation of Benign Anorectal Interventions: Essentiality or Excess? |
| title_full | Routine Histopathological Evaluation of Benign Anorectal Interventions: Essentiality or Excess? |
| title_fullStr | Routine Histopathological Evaluation of Benign Anorectal Interventions: Essentiality or Excess? |
| title_full_unstemmed | Routine Histopathological Evaluation of Benign Anorectal Interventions: Essentiality or Excess? |
| title_short | Routine Histopathological Evaluation of Benign Anorectal Interventions: Essentiality or Excess? |
| title_sort | routine histopathological evaluation of benign anorectal interventions essentiality or excess |
| topic | anal fistula anal fissure hemorrhoid human papilloma virus pathology routine histopathologic examination |
| url | https://gazimedj.com/articles/routine-histopathological-evaluation-of-benign-anorectal-interventions-essentiality-or-excess/doi/gmj.2024.4134 |
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