Use of Routine Histologic Evaluation of Carpal Ganglions

McKeon, Kathleen E.; Boyer, Martin I.; Goldfarb, Charles A.

doi:10.1016/j.jhsa.2005.10.023

Cited by 25 publications

(20 citation statements)

References 11 publications

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“…The preoperative diagnoses were divided into nine groups: (1) lipoma (including fibrolipoma and angiolipoma), (2) giant cell tumor of tendon sheath (GCTTS), (3) fibroma (including fibromatosis and dermatofibroma), (4) vascular tumors (e.g., (hem)angioma, lymphangioma, varix, Masson lesion, venous malformation, organized thrombus/hematoma, fibrovascular lesion), (5) glomus tumor, (6) neurological tumor (e.g., schwannoma, neurofibroma, (traumatic) neuroma, perineurioma), (7) leiomyoma or angiomyoma, (8) other (e.g., calcification, chondroma), and (9) unknown benign tumor.…”

Section: Chart Review and Definitionsmentioning

confidence: 99%

Excisional Biopsy of Suspected Benign Soft Tissue Tumors of the Upper Extremity: Correlation between Preoperative Diagnosis and Actual Pathology

Sluijmer

Becker

Bossen

et al. 2014

Hand (New York, N,Y.)

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Background Tumors of the upper extremity are common and mostly benign. However, the prevalence of discordant diagnosis of a solid hand tumor is less studied. The objectives of this retrospective study were (1) to determine the proportion of patients with a different (discrepant or discordant) pathological diagnosis compared to the preoperative diagnosis, (2) to determine the prevalence of the types of pathologies encountered at excisional biopsy for suspected benign tumors, and (3) to determine the types of tumors diagnosed when the surgeon does not make a preoperative diagnosis. Methods One hundred and eighty-two suspected benign soft tissue tumors of the upper extremity with a preoperative diagnosis other than ganglion cyst were excised by one of three surgeons over a 10-year period. A preoperative diagnosis was applied for 125 tumors. No preoperative imaging was used. Results Only 26 of the 125 tumors (21 %) with a preoperative diagnosis were discrepant. The tumors that were most likely to have a discrepant diagnosis were vascular tumors (32 %) and other less common benign tumors (33 %). Among the entire cohort of 182 tumors, lipomas (19 %), giant cell tumors of tendon sheath (GCTTS; 19 %), and vascular tumors (16 %) were the most frequent pathological diagnoses. Among the 57 tumors that did not have a preoperative diagnosis, most were vascular tumors (23 %), fibromas (14 %), and GCTTS (11 %).

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Section: Chart Review and Definitionsmentioning

confidence: 99%

Excisional Biopsy of Suspected Benign Soft Tissue Tumors of the Upper Extremity: Correlation between Preoperative Diagnosis and Actual Pathology

Sluijmer

Becker

Bossen

et al. 2014

Hand (New York, N,Y.)

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“…17 Additionally, a 2001 study by Culp et al 3 found that pathological review did not provide new results in 182 trapezium excisions and further showed that pathology reports were not referenced in any of the surgeon's postoperative notes. In the same study, a survey of 300 members of the American Society for Surgery of the Hand found that 63% of respondents stated that they do not regularly submit trapezium specimens to the pathology department.…”

Section: Discussionmentioning

confidence: 99%

Costs Versus Benefits of Routine Histopathological Examination in Total Ankle Replacement

2015

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“…Previous studies have demonstrated extremely low diagnostic value and high costs of histological examinations following a variety of procedures, including thumb, knee, and hip arthroplasty; lumbar and cervical discectomy; hallux valgus surgery; wrist ganglion excision; and shoulder and knee arthroscopy [6][7][8][9][10][11][12][13][14][15][16][17][18][19][23][24][25][26][27][28] (see Appendix). While these represent various procedures under different settings, different clinical and histological diagnoses occurred in 0% to 9% of the cases.…”

Section: Discussionmentioning

confidence: 99%

Routine Examination of Pathology Specimens Following Knee Arthroscopy: A Cost-Effectiveness Analysis

Greene¹,

Zois²,

Deshmukh³

et al. 2014

The Journal of Bone and Joint Surgery

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Routine pathological examination of surgical specimens from patients undergoing knee arthroscopy had limited cost-effectiveness because of the low prevalence of findings that altered patient management. Histological examination of surgical specimens from arthroscopic knee surgery did not alter patient care and increased costs. We suggest that gross and histological examination of tissue removed during knee arthroscopy should be done at the discretion of the orthopaedic surgeon rather than being mandatory.

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Use of Routine Histologic Evaluation of Carpal Ganglions

Cited by 25 publications

References 11 publications

Excisional Biopsy of Suspected Benign Soft Tissue Tumors of the Upper Extremity: Correlation between Preoperative Diagnosis and Actual Pathology

Excisional Biopsy of Suspected Benign Soft Tissue Tumors of the Upper Extremity: Correlation between Preoperative Diagnosis and Actual Pathology

Costs Versus Benefits of Routine Histopathological Examination in Total Ankle Replacement

Routine Examination of Pathology Specimens Following Knee Arthroscopy: A Cost-Effectiveness Analysis

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