Friday 20 May 2016

HISTOPATHOLOGY OF ROUTINE CHOLECYSTECTOMY SPECIMENS IS JUSTIFIABLE -

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. - See more at

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