Mehmet Eren Yuksel 1, Melike Ordu
2
1
Ankara Yildirim Beyazit University, Faculty of Medicine, Intensive Care Unit,
Ankara, Turkey
2 Aksaray University Training and Research Hospital, Clinic of Pathology, Aksaray, Turkey
2 Aksaray University Training and Research Hospital, Clinic of Pathology, Aksaray, Turkey
Copyright
© 2020 by authors and Annals of Medical Research Publishing Inc.
Abstract
Aim:
Pilonidal disease presents with acute abscess, sinuses, pits and scarring in
the sacrococcygeal region. Surgical intervention is one of the treatment
options of pilonidal disease. However, it has been a matter of debate, whether
histological analysis of surgically resected pilonidal disease specimens would
be necessary.
Material
and Methods: Medical records of the patients with pilonidal disease who
underwent either primary excision and closure or modified Limberg flap surgery
were reviewed retrospectively. The results of the histopathological examination
of the pilonidal disease specimens were evaluated.
Results:
This study included 905 patients (686 male and 219 female) with pilonidal
disease who were treated with surgical intervention. The mean age of the
patients was 23.96±7.5 years. All surgically excised pilonidal disease
specimens of the patients were histopathologically evaluated in order to rule
out malignancy. No malignancy was detected.
Conclusion:
We conducted a Pubmed search with the term “pilonidal” between January 2000 and
March 2019. We identified 91 patients with malignant degeneration arising on
pilonidal disease in the English medical literature. The most common pilonidal
disease associated malignancy was squamous cell carcinoma. Even it is rare,
malignancy may accompany pilonidal disease. Therefore, even we have not
encountered any malignancy in 905 patients with pilonidal disease, we still
insist on histopathological examination of all surgically resected pilonidal
disease specimens in order to rule out malignancy.
Keywords:
Histopathological examination; malignancy; pilonidal disease; squamous cell
carcinoma
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