I apologize; I should have stated my question differently.  Our Children's 
Hospital wants to stop sending tonsils to Pathology unless the surgeon requests 
pathological examination.  An article published in Otolaryngology-Head and Neck 
Surgery (Nelson et al.) concluded that pathologic examination of tonsils is not 
a cost-effective use of limited health care resources.  "Zero cases of 
unsuspected pathology were identified on planned gross specimen evaluation 
(n=4186) and positive pathologic findings on microscopic analysis (n=1066) were 
only identified in post-transplant patients."

Have any of you exempted tonsils from submission to Pathology?  If not, maybe 
we should.

Richard

Richard W. Cartun, MS, PhD
Director, Histology & Immunopathology
Director, Biospecimen Collection Programs
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax



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