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Pilonidal sinus: is histological examination necessary?
Bacil 'Otutaha1, Brittany Park2, Weisi Xia1
1Department of Surgery, Middlemore Hospital, Counties Manukau District Health Board, Auckland, New Zealand.
Histological analysis of pilonidal sinus specimens is generally unnecessary for patients under 50. However, routine histological review should be considered for older patients with chronic pilonidal disease.
Area of Science:
- General Surgery
- Pathology
- Oncology
Background:
- Pilonidal sinus is a common condition, primarily treated with surgery.
- Malignant degeneration is rare (0.1%), typically in patients over 50 with chronic disease.
Purpose of the Study:
- To evaluate the necessity of routine histological analysis of pilonidal sinus specimens.
Main Methods:
- A 10-year retrospective observational study of pilonidal sinus excisions.
- Analysis of 320 histological specimens from 325 resections.
Main Results:
- Pilonidal sinus confirmed in 312 specimens.
- Eight benign findings and zero malignancies were identified.
- No malignant degeneration was detected in the analyzed specimens.
Conclusions:
- Routine histological examination of pilonidal sinus specimens is not essential.
- Consider histological review for patients over 50 with chronic pilonidal disease.
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