Routine Histopathological Evaluation of Benign Anorectal Interventions: Essentiality or Excess?

Objective: To evaluate the necessity of routine histopathological examination in benign anorectal surgeries and to explore the potential for a selective approach based on patient characteristics. Methods: Retrospective analysis of patients who underwent surgery for benign anorectal diseases between...

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Bibliographic Details
Main Authors: Ramazan Kozan, Enes Aksu, Kürşat Dikmen
Format: Article
Language:English
Published: Galenos Publishing House 2024-04-01
Series:Gazi Medical Journal
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Online Access:https://gazimedj.com/articles/routine-histopathological-evaluation-of-benign-anorectal-interventions-essentiality-or-excess/doi/gmj.2024.4134
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Summary:Objective: To evaluate the necessity of routine histopathological examination in benign anorectal surgeries and to explore the potential for a selective approach based on patient characteristics. Methods: Retrospective analysis of patients who underwent surgery for benign anorectal diseases between January 2013 and December 2023. Demographic data, surgical procedures, and histopathological findings were assessed. Results: Among 830 patients, 482 underwent histopathological examination. No malignancy was detected. However, human papilloma virus (HPV)-related lesions were diagnosed in 2.1% of patients. A retrospective design and limited patient population were identified as major limitations. Conclusion: Routine histopathological examination may be unnecessary for benign anorectal surgeries in patients without HPV-related risk factors. Further large-scale studies are required to determine the criteria for selective examination, optimizing resource usage in clinical practice.
ISSN:2147-2092