AB034. SOH26AB_0437. Analysis of skin lesions excised in University Hospital Limerick’s new paediatric special interest surgical service
Paediatrics Session

AB034. SOH26AB_0437. Analysis of skin lesions excised in University Hospital Limerick’s new paediatric special interest surgical service

Iffah Ja’afar1, Wame Majeremane1, Osama Shakeel1, Tara Connelly1,2

1Department of Surgery, University Hospital Limerick, Limerick, Ireland; 2Health Research Institute (HRI), University of Limerick, Limerick, Ireland

Background: Skin lesion excisions are routinely performed in adults. However, access to this service for the paediatric population of the Midwest has increased following the establishment of University Hospital Limerick’s paediatric special interest surgical service. This study aimed to evaluate the range of histopathological diagnoses in children aged 16 years and younger undergoing skin lesion excision and to compare clinical and histological findings.

Methods: A retrospective review was conducted of all paediatric skin lesion excisions performed since the introduction of the service. Data collected included age at time of biopsy, sex, lesion location, type of anaesthesia, and final histopathological diagnosis. Clinical impressions were compared with histological findings to assess diagnostic accuracy.

Results: A total of 20 lesions were excised in 20 patients, with a female predominance (n=12, 60%) compared with males (n=8, 40%). The majority of lesions were excised under general anaesthesia. All lesions were benign on final histology. The most common diagnoses were epidermoid cysts (n=6) and pilomatrixomas (n=3), followed by dermatofibromas (n=2) and lipomas (n=2). Other findings included schwannoma, bronchogenic cyst, melanocytic naevus, organising scar, hyperplastic inflammatory lesion, and polypoid naevus (n=1 each).

Conclusions: Several lesions clinically presumed to be simple cysts or lipomas were diagnosed as distinct benign pathologies on histological examination. Routine histological evaluation of excised paediatric skin lesions improves diagnostic accuracy and uncovers clinically significant findings. This practice should be a standard part of care, even for lesions presumed benign, as histopathology can reveal unexpected diagnoses and influence follow-up decisions.

Keywords: Benign skin lesions; diagnostic accuracy; histopathology; paediatric surgery; skin excision

Acknowledgments

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Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-26-ab034
Cite this abstract as: Ja’afar I, Majeremane W, Shakeel O, Connelly T. AB034. SOH26AB_0437. Analysis of skin lesions excised in University Hospital Limerick’s new paediatric special interest surgical service. Mesentery Peritoneum 2026;10:AB034.

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