Histopathological Examination and Endoscopic Sinusectomy: Is It Possible?

Area of Science:

• Surgical Oncology
• Minimally Invasive Surgery
• Pathology

Background:

• Carcinomatous degeneration of pilonidal cysts is rare but necessitates histopathological examination.
• Minimally invasive techniques for pilonidal sinus disease often preclude specimen retrieval for pathology.

Purpose of the Study:

• To evaluate the feasibility of histopathological examination of pilonidal sinus excision material after endoscopic ablation.
• To determine if minimally invasive techniques compromise the ability to perform histopathology for pilonidal sinus disease.

Main Methods:

• A retrospective study of 45 patients with pilonidal sinus disease treated with Video Assisted Ablation of Pilonidal Sinus (VAAPS).
• All patients underwent subsequent histopathological examination of the retrieved sinus sampling material.

Main Results:

• Histopathological examination was successfully performed on samples from all 45 patients.
• No evidence of malignancy was detected in any of the examined pilonidal sinus samples.
• The study included Caucasian patients under 50 years old, with 9 cases of recurrent disease.

Conclusions:

• Minimally invasive endoscopic ablation (VAAPS) for pilonidal sinus disease does not prevent histopathological examination.
• The diagnostic integrity of histopathology is maintained even with minimally invasive approaches, ensuring safety and ruling out malignancy.