Rizwan A Khan1, Imran Ghani, Rajendra S Chana. 1. Unit of Pediatric Surgery, Department of Surgery, J. N. Medical College, AMU, Aligarh, India. drrizwanahmadkhan@yahoo.co.in
Abstract
OBJECTIVE: Primary carcinoma of the bowel is a rare malignancy in pediatric age group. The aim of the study was to assess the incidence of appendicular malignancies in children and the possibility of reducing the need for routine histopathological examination of appendix. MATERIALS AND METHODS: In last 15 years, all the cases of appendectomies in children were analyzed. Retrospective analysis of the data was done to document the clinical presentation, diagnosis, outcome and histopathology reports of the specimen. The case files and operation notes were studied thoroughly in cases where HPR was positive for malignancy. RESULTS: From July 1995 to June 2010, 595 appendectomies were done in children. Three cases of carcinoid tumor were detected. All were less than 1 cm and were on the tip of the appendix. There was no preoperative or intraoperative suspicion. CONCLUSION: Routine histopathological analysis did not help in the management of any of the cases. Therefore, selective utilization of the already burdened histopathology section of the hospital would be more cost effective without affecting the patient outcome.
OBJECTIVE:Primary carcinoma of the bowel is a rare malignancy in pediatric age group. The aim of the study was to assess the incidence of appendicular malignancies in children and the possibility of reducing the need for routine histopathological examination of appendix. MATERIALS AND METHODS: In last 15 years, all the cases of appendectomies in children were analyzed. Retrospective analysis of the data was done to document the clinical presentation, diagnosis, outcome and histopathology reports of the specimen. The case files and operation notes were studied thoroughly in cases where HPR was positive for malignancy. RESULTS: From July 1995 to June 2010, 595 appendectomies were done in children. Three cases of carcinoid tumor were detected. All were less than 1 cm and were on the tip of the appendix. There was no preoperative or intraoperative suspicion. CONCLUSION: Routine histopathological analysis did not help in the management of any of the cases. Therefore, selective utilization of the already burdened histopathology section of the hospital would be more cost effective without affecting the patient outcome.
Authors: Vivian P Bastiaenen; Bartholomeus Jga Corten; Elise Aj de Savornin Lohman; Joske de Jonge; Anne C Kraima; Hilko A Swank; Jaap Lp van Vliet; Gijs Jd van Acker; Anna Aw van Geloven; Klaas H In 't Hof; Lianne Koens; Philip R de Reuver; Charles C van Rossem; Gerrit D Slooter; Pieter J Tanis; Valeska Terpstra; Marcel Gw Dijkgraaf; Willem A Bemelman Journal: BMJ Open Date: 2019-12-23 Impact factor: 2.692