桃体切除样本的常规组织病理学,这是必要的吗? 一个前性的观察研究
Vidula Mestry1, Ravindra B Sardesai2, Sanjaykumar Sonawale3
1Division of Head and Neck Surgery, Department of Surgical Oncology, Tata Memorial Centre, ACTREC, Mumbai, India.
概括
建议对桃体切除样本进行常规的组织病理学检查. 在8.10%的病例中发现了包括恶性瘤在内的异常发现,需要进一步调查和治疗.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 病理学 病理学 病理学
- 手术瘤学手术瘤学
背景情况:
- 由于成本和资源的限制,桃体切除标本的常规组织病理学不是标准实践.
- 桃体切除术通常用于慢性桃体炎,但其他潜在病理可能会在没有检查的情况下错过.
研究的目的:
- 为了评估桃体切除样本中异常组织病理的患病率.
- 确定为桃体切除样本进行例行病原体学的必要性和潜在益处.
主要方法:
- 一项前性观察性研究,涉及111名患者和222名桃体切除标本.
- 对样本进行了基因病理学发现的分析,记录了异常结果并与临床因素相关联.
主要成果:
- 在8.10%的患者中发现了异常组织病理,包括慢性粒瘤,非霍奇金淋巴瘤,早期状细胞癌和胆囊瘤.
- 慢性桃体炎是最常见的发现 (91.89%).
- 桃体不对称,最近出现的症状和年龄较大与异常发现和恶性瘤有显著的相关性.
结论:
- 建议对桃体切除样本进行常规组织病理学检查,以检测需要额外治疗的重大发现.
- 在存在成本限制的情况下,可以采用基于风险的方法,考虑年龄和桃体不对称等因素.
相关概念视频
01:23Chronic Pharyngitis
1.3K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
1.3K
01:26Sputum Studies I: Gram Stain, cytology, and Acid-fast smear and culture
167
Sputum studies are a critical part of diagnosing and treating numerous respiratory conditions. These studies involve obtaining sputum samples for analysis to identify pathogenic organisms and assess the presence of abnormal cells indicative of malignant conditions. This lesson will delve into three fundamental sputum studies: Gram Stain, Cytology, and Acid-fast Smear and Culture.
Gram Stain
The Gram Stain is an integral part of sputum studies. It involves the staining of sputum, which permits...
Gram Stain
The Gram Stain is an integral part of sputum studies. It involves the staining of sputum, which permits...
167