Study of 4085 Sacrococcygeal Pilonidal Sinus Diseases’ Pathological Results in 12 Years

Aim: In some minimally invasive approaches, the cavity of the sacrococcygeal pilonidal cyst is not resected. This condition brings to mind the necessity of pathological examination of this cavity. In this study, we aimed to investigate whether the resected pilonidal cyst should be examined pathologically or not.Methods: Four thousand and eighty-five patients who undergone resection for pilonidal cyst were included in the study. Preoperative findings and clinicopathological features were analyzed retrospectively.Results: The median age of the patients was 30 (2-87 years) years. 3256 (79.7%) patients were male. One hundred and sixty-six (4%) patients were over 50 years. The median pathological specimen length was 5 (0.5-6.5 cm) cm. The median time to pathological result was 6 (0-65 days) days. The most common diagnosis was a pilonidal sinus (n=3917, 95.9%). No malignancy was detected after the histopathological examination.Conclusion: The histopathological evaluation of resected pilonidal cyst is unnecessary due to the low malignant rate unless the presence of suspicious clinical findings.