HISTOPATHOLOGY OF ROUTINE CHOLECYSTECTOMY SPECIMENS IS JUSTIFIABLE
Reyaz Tasleem
, Isma Niyaz
, Summyia
, Neelofar Gul
, Ajaz Amin
, Samina Ali Khanday
and Waseem Rasool.
- Associate Professor, Department of Pathology.
- Senior Resident, Department of Pathology.
- Postgraduate Student, Department of Pathology.
- Medical Officer, Department of Obstetrics and Gynaecology.
- Abstract
- Keywords
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- Corresponding Author
Background: A gallbladder removed for benign disease has been sent for histopathological examination, but this practice has been the subject of controversy. This study was conducted to assess the feasibility or otherwise of performing histopathological examination in every specimen of gallbladder. Methods: We analysed, retrospectively histopathological reports of all gallbladder specimens after cholecystectomy in last two years. Results: A total of 1900 gallbladder specimens were sent for HPE out of which 1747 (91.9%) showed evidence of chronic cholecystitis and 66 (3.47%) showed chronic cholecystitis with cholesterolosis, 50 (2.63%) showed evidence of xanthomatous cholecystitis, 6 (0.03%) with polyp, 14 (0.73%) with follicular cholecystitis, 14 (0.73%) gallbladders were reported as malignant (adenocarcinoma) out of which 7 were in stage IA, 3 in stage IIA, and 4 in stage III. Conclusion: Incidental diagnosis of carcinoma gallbladder is not rare, if the protocol of routine histopathology of gallbladder specimen is not followed, subclinical malignancies would fail to be identified with disastrous results. We strongly recommend routine histopathology of all cholecystectomy specimens.
[Reyaz Tasleem, Isma Niyaz, Summyia, Neelofar Gul, Ajaz Amin, Samina Ali Khanday and Waseem Rasool. (2016); HISTOPATHOLOGY OF ROUTINE CHOLECYSTECTOMY SPECIMENS IS JUSTIFIABLE Int. J. of Adv. Res. 4 (Apr). 1634-1638] (ISSN 2320-5407). www.journalijar.com
