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?:abstract
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Introduction: The 2019 novel coronavirus global pandemic compelled nationwide lockdown in Nepal with attendance of only urgent consultations and surgeries This study aims to assess the volume, diagnostic categories, and age distribution of cases received in a histo-cytopathology laboratory so that laboratories can be prepared accordingly, to cope with a probable surge of COVID-19 or similar incidence in Nepal
Materials and Methods: A retrospective descriptive study was performed in the Pathology Department, Patan Academy of Health Sciences during first four weeks of nationwide lockdown from March 24 to April 24, 2020 The current data was compared with that of March 24 to April 24, 2019
Results: The volume of histopathology specimens was reduced by one-fifth and cytological samples by one-seventh In histopathology, non-neoplastic lesions were 269 and 65, benign lesions 48 and 1, and malignancy 27 and 6 cases in the corresponding period of the previous year and COVID-19 lockdown period respectively Appendix, product of conception, placenta, and tubal ectopic pregnancy constituted a major bulk of histopathology cases The percentage of malignant cases reported in histopathology, as well as cytology, increased during the COVID-19 pandemic The mean age of patients was 37 years during the COVID-19 lockdown and 41 years in the previous year
Conclusions: Despite the reduction in the overall volume of histo-cytopathology samples, a higher rate of malignancy was recorded This emphasizes the necessity of continuing histo-cytopathology services and delivering timely diagnosis even during such a contagion crisis so that oncological patients are not deprived of appropriate management
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