Apendektomi Materyallerinde Saptanan Histopatolojik Tanılar

Amaç: Bu çalışmada, Yozgat yöresinde akut karın semptomları nedeni ile apendektomi yapılan hastalarda saptanan histopatolojik tanıları belirlemek ve insidanslarını araştırmak amaçlandı. Gereç ve Yöntem: Yakın zamanda kurulmuş bir üniversite olan Bozok Üniversitesi Tıp Fakültesi’nde Ocak 2012-Ekim 2016 tarihleri arasında Tıbbi Patoloji Anabilim Dalı’nda incelenen 263 apendektomi materyali retrospektif olarak değerlendirildi. Bulgular: Olguların 134 (%51)’ü erkek, 129 (%49)’u kadındı. Yaşları 4 ile 88 arasında değişmekte idi (ortalama=29.4±15.03 yaş). 263 olgunun 167 (%63.4)’sinde akut apandisit, 4 (%1.5)’ünde ise periapandisit bulguları saptandı. Ayrıca, 73 (%27.8) olguda lenfoid hiperplazi, 7 (%2.8) olguda enterobius vermicularis, 5 (%1.9) olguda fibröz obliterasyon, 3 (%1.1) olguda nonnekrotizan granülomatöz inflamasyon, 2 (%0.8) olguda düşük dereceli apendisyal müsinöz neoplazi, 1 (%0.4) olguda lökositoklastik vaskülit ve 1 (%0.4) olguda karsinoid tümör mevcuttu. Sonuç: Akut apandisit ön tanısı ile yapılan apendektomi materyallerinde ek tedavi gerektiren benign/malign tümörler ve paraziter enfeksiyonlar başta olmak üzere çeşitli insidental patolojiler saptanabilmektedir. Bu nedenle, histopatolojik inceleme önemlidir ve dikkatli bir şekilde yapılmalıdır.

Histopathological Diagnoses Detected in Appendectomy Specimens

Objective: The aim of the present study was to evaluate the histopathological diagnoses and their incidences in the appendectomies performed for acute abdomen symptoms in Yozgat region. Material and Method: 263 appendectomy specimens that were evaluated between January 2012 and October 2016 at the Pathology Department of Bozok University School of Medicine, a recently founded university, were investigated retrospectively. Results: There were 134 (51%) males and 129 (49%) females. The age ranged from 4 to 88 years (mean =29.4±15.03 year). Among 263 cases, acute appendicitis was detected in 167 (63.4%) cases and perappendicitis was detected in 4 (1.5%) cases. Additionally, there were 73 (27.8%) cases of lymphoid hyperplasia, 7 (2.8%) cases of enterobius vermicularis, 5 (1.9%) cases of fibrous obliteration, 3 (1.1%) cases of non-necrotizing granuloma-tous inflammation, 2 (0.8%) cases of low-grade appendicial mucinous neoplasm, 1 (0.4%) case of leukocytoclastic vasculitis, and 1 (0.4%) case of carcinoid tumor. Conclusion: A variety of incidental pathologies particularly benign/malignant tumors, and parasitic infections that require additional treatment might be detected in the appendectomy specimens performed for a clinical diagnosis of acute appendicitis. Thus, histopathological examination is crucial and has to be done carefully.

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