Gupta S C, Gupta A K, Keswani N K, Singh P A, Tripathi A K, Krishna V
Department of Pathology and Surgery, MLN Medical College, Allahabad, India.
J Clin Pathol. 1989 Nov;42(11):1169-72. doi: 10.1136/jcp.42.11.1169.
Over the past 25 years, 2921 appendicectomies were performed at this hospital. All were subjected to routine histopathological examination. In 95% of cases, histopathological examination did not add any further information but in 153 (5%) cases, clinically important pathological findings were detected for the first time. Seventy (2.3%) specimens showed typical evidence of tuberculosis. Parasitic infestation was detected in 75 (2.5%), including enterobiasis (1.4%), amoebiasis (0.5%), ascariasis (0.5%), ascariasis with trichuriasis (0.05%), and taeniasis (0.05%). Other lesions found were mucocele (0.1%) and carcinoid tumour (0.1%). It is concluded that routine histopathological examination of all appendicectomy specimens should be performed to avoid missing any clinically important and treatable condition.
在过去25年里，该医院共进行了2921例阑尾切除术。所有切除的阑尾均进行了常规组织病理学检查。在95%的病例中，组织病理学检查并未提供更多信息，但在153例（5%）病例中，首次检测到具有临床重要意义的病理结果。70例（2.3%）标本显示有典型的结核证据。在75例（2.5%）中检测到寄生虫感染，包括蛲虫病（1.4%）、阿米巴病（0.5%）、蛔虫病（0.5%）、蛔虫和鞭虫混合感染（0.05%）以及绦虫病（0.05%）。发现的其他病变包括黏液囊肿（0.1%）和类癌肿瘤（0.1%）。结论是，应对所有阑尾切除标本进行常规组织病理学检查，以避免漏诊任何具有临床重要意义且可治疗的病症。
