Is Histopathological Evaluation of Hernia Sacs Necessary?

Topal, Uğur; Gök, Mustafa; Akyüz, Muhammet; Öz, Abdullah Bahadır; Arıkan, Tamer; Solak, İsmail; Denız, Kemal; Sözüer, Erdoğan

doi:10.34172/aim.2020.34

Cited by 4 publications

(13 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are plenty of surgical repair modalities, whether laparoscopic or open technique of AWH [17][18][19][20] . The hernia sac may contain different tissues varying from any abdominal tissue to metastasis of any malignant tissue 21,22 . The literature mentions that an inguinal hernia's incarceration probability is 4.5% for 2 years after diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Presentación de emergencia de las hernias de la pared abdominal: factores que afectan las resecciones y las complicaciones del sitio quirúrgico en escenarios agudos complejos

Eyvaz¹,

Gökçeimam²

2022

CIRU

View full text Add to dashboard Cite

Objective: Abdominal wall hernias (AWH) may turn into a complex condition in terms of emergency. This study aims to evaluate the factors which may lead emergency AWH operation to complex surgery. Materials and methods: Univariate and multivariate regression analysis is performed to determine independent factors affecting tissue resection, bowel resection, and surgical-site complications. Results: The type of hernia, time, and content of hernia are independent factors for tissue resection. The time elapsed from the onset of complaints to surgery and comorbid diseases are independent factors for bowel resection. Similarly, the time elapsed from the onset of complaints to surgery and bowel presence in hernia is independent risk factors for surgical-site complications. Conclusion: Patients who are operated later than 6 h after the onset of complaints and have comorbidity are more complex surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Presentación de emergencia de las hernias de la pared abdominal: factores que afectan las resecciones y las complicaciones del sitio quirúrgico en escenarios agudos complejos

Eyvaz¹,

Gökçeimam²

2022

CIRU

View full text Add to dashboard Cite

show abstract

“…Researchers found the histopathological study of excised hernia sacs giving first clues for extra-abdominal cancer with GI metastasis, like the breast lobular adenocarcinoma. 13 Exceedingly rarely, metastatic breast cancer gives origin to carcinomatous peritonitis. 5 If one considers the analysis of hernia sacs allowing the investigation of peritoneal seeding or invasion, microscopic study of all abdominal wall hernia seems beneficial.…”

Section: Discussionmentioning

confidence: 99%

“…5 If one considers the analysis of hernia sacs allowing the investigation of peritoneal seeding or invasion, microscopic study of all abdominal wall hernia seems beneficial. 13 MRI images contribute to distinguishing primary rectal carcinoma from GI metastasis. Concentric mural thickening with involvement of the submucosa and muscularis propria and sparing of the rectal mucosa are not usually found in primary rectal cancer.…”

Section: Discussionmentioning

confidence: 99%

Rectal Metastases of Breast Carcinoma: A Case Report

et al. 2021

View full text Add to dashboard Cite

The scarcely reported hematogenous rectal metastases from breast cancer are rare and the diagnosis is challenging. They may be recognized before, concomitantly with, or after the diagnosis of the primary site of breast cancer. Invasive lobular cancer is the histological type more frequently described, and most of the affected patients have a late diagnosis. Tardive recognition is associated with poor outcomes, despite the management options. Endoscopic and imaging evaluations, mainly magnetic resonance studies, are useful, but the anatomopathological findings are mandatory to confirm the diagnostic hypothesis. We describe a middle-aged woman with advanced rectal metastases of unsuspected breast cancer found during the evaluation of manifestations due to intestinal implants. One must highlight long-term follow-up of breast cancers even if seeming in remission. The aim of this report is to enhance the suspicion index of primary health care workers.

show abstract

“…Malignant tumor in the hernia sac may occur as a metastasis or the secondary involvement of another cancer. Most metastatic tumors are malignant epithelial tumors, and colorectal carcinoma metastasis is most frequently observed in the hernia sac [1][2][3][4][5][6]. Metastases originating from ovarian, prostate, pancreatic, appendix, peritoneum, endometrium, and stomach cancers have also been reported [1][2][3][4][7][8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…Most metastatic tumors are malignant epithelial tumors, and colorectal carcinoma metastasis is most frequently observed in the hernia sac [1][2][3][4][5][6]. Metastases originating from ovarian, prostate, pancreatic, appendix, peritoneum, endometrium, and stomach cancers have also been reported [1][2][3][4][7][8][9][10][11][12][13][14]. Rarely, the hernia sac may be the first presentation of an unknown malignancy.…”

Section: Introductionmentioning

confidence: 99%

Surprise in hernia sacs: Malignant tumor metastasis

Seçinti¹,

Gürsoy²,

Özgür³

et al. 2022

Journal of Surgery and Medicine

View full text Add to dashboard Cite

Background/Aim: Malignant tumors are rare in the hernia sac, and there are very few studies on this subject in the literature. We aimed to investigate the malignancies in surgically resected hernia sacs and their clinicopathological features in the last ten years in our institution. Methods: The hernia sac specimens sent for pathological examination between 2010 and 2021 were included in this retrospective cohort study. The age and gender of the patient, the type of hernia and known malignancy history of all patients were recorded. Cases with malignancy in the hernia sac were selected and their slides were re-evaluated. The cases with and without malignancy in the hernia sac were compared in terms of age, gender and known cancer history. Results: There were 455 hernia sac specimens belonging to 448 patients which underwent pathological examination between 2011 and 2021. Malignancy was detected in ten (2.20%) hernia sacs. Eight were malignant tumor metastases (1.75%). The remaining two were secondary involvement of another malignancy. Five malignant tumors were ovarian serous carcinoma, one was vulvar squamous cell carcinoma, one was appendiceal mucinous cystadenocarcinoma, one was malignant melanoma metastasis, one was undifferentiated pleomorphic sarcoma, and one was non-Hodgkin lymphoma. The incidence of hernia sac malignancy was similar in male and female patients (3.5% and 1.4%, respectively; P=0.190). There was a known cancer history in 70% (n=7) of ten patients with malignancy in the hernia sac. The incidence of malignancy in the hernia sacs of patients with a known cancer history was significantly higher (P<0.001). Malignancies were present in 0.95% (n=2) of inguinal hernias, 1.67% (n=2) of abdominal hernias and 5.45 % (n=6) of incisional hernias. Gross pathology was detected in the macroscopic examination of all malignant inguinal hernias, but not in any of the abdominal hernias. Conclusion:We recommend the microscopic examination of hernia sacs, even if there is no macroscopic abnormality, especially in the elderly and/or patients with a history of malignancy, in order to detect incidental metastases.

show abstract

Is Histopathological Evaluation of Hernia Sacs Necessary?

Cited by 4 publications

References 17 publications

Presentación de emergencia de las hernias de la pared abdominal: factores que afectan las resecciones y las complicaciones del sitio quirúrgico en escenarios agudos complejos

Presentación de emergencia de las hernias de la pared abdominal: factores que afectan las resecciones y las complicaciones del sitio quirúrgico en escenarios agudos complejos

Rectal Metastases of Breast Carcinoma: A Case Report

Surprise in hernia sacs: Malignant tumor metastasis

Contact Info

Product

Resources

About