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Int J Pediatr Otorhinolaryngol. 2009 Apr;73(4):547-50. doi: 10.1016/j.ijporl.2008.11.001. Epub 2009 Feb 3.

Histologic analysis of pediatric tonsil and adenoid specimens: is it really necessary?

Author information

1
Children's Hospital Los Angeles, Division of Pediatric Otolaryngology, 4650 Sunset Blvd M/S #58, Los Angeles, CA 90027, United States. sverma@usc.edu

Abstract

OBJECTIVE:

To evaluate the incidence of unexpected histologic findings in routine tonsillectomy and adenoidectomy specimens.

METHODS:

A retrospective medical record review was performed at a tertiary care children's hospital. The pathology records of 2062 children who underwent tonsil or adenoid surgery were analyzed and the final histologic diagnosis was recorded.

RESULTS:

Four unexpected histologic findings were found on routine tonsil and adenoid specimens. None were clinically significant. A review of the literature shows a very low rate (0.015%) of unexpected clinically significant diagnoses in pediatric adenotonsillectomy specimens.

CONCLUSIONS:

Given rarity of unexpected clinically significant diagnoses in pediatric adenotonsillectomy specimens, the cost and effort of analyzing each specimen histologically is difficult to justify.

PMID:
19193449
DOI:
10.1016/j.ijporl.2008.11.001
[Indexed for MEDLINE]

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