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Histerektomi Materyallerinde Histopatolojik Tanıların İncelenmesi

The Evaluation of Histopathologic Diagnosis in Specimens of Hysterectomy

Journal Name:

  • Abant Tıp Dergisi

Publication Year:

  • 2013
DOI: 
doi: 10.5505/abantmedj.2013.30502

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: To evaluate hysterectomy procedures performed for benign conditions in terms of indications and histopatho-logical results. Method: Retrospective analysis of 258 hysterectomy cases, which were performed between January 2011 and Decem-ber 2012, was conducted to review indications and histo-pathological diagnoses. Results: The most frequent indications for hysterectomy were abnormal uterine bleeding 87, (33,72%), myoma uteri 73, (28,29%) and endometrial hyperplasia 67, ( 25,96%), respectively. Other clinical indications were adenomyosis 25, ( 9,68%) and uterine prolapse 6, (2,32%). The most common histopathological diagnoses reported for hysterectomy specimens were leiomyoma 83, (32,17%), adenomyosis 78, (30,23%) and endometrial hyperplasia 77 (29,84%), respecti-vely. Endometrial polyp was diagnosed in specimens of 13 patients (5,04%). Endometrial atrophy was reported in 7 patients ( 2,71%). Cervical histopathology of hysterectomy materials revealed chronic cervicitis in 54,26% of the pati-ents. Conclusion: Due to the high coincidence of myoma uteri and endometrial hyperplasia, endometrial sampling should be performed in patients who are being considered for hyste-rectomy for myoma uteri and also have menometrorrhagia.
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Abstract (Original Language): 
Amaç: Bu çalışmada benign ön tanılarla yapılan histerekto-milerin, endikasyonlar ve histopatolojik tanılar açısından değerlendirilmesi amaçlandı. Yöntem: Ocak 2011 ile Aralık 2012 yılları arasında yapılmış olan 258 histerektomi olgusu endikasyonlar ve histopatolojik tanılar açısından retrospektif olarak değerlendirildi. Bulgular: En sık histerektomi endikasyonu anormal uterin kanama idi 87 (%33,72). Daha sonra sırası ile myoma uteri 73 (%28,29) ve endometrial hiperplazi 67 (%25,96) olarak tespit edildi. Diğer klinik endikasyonlar adenomyozis 25 (% 9,68) ve uterus prolapsusu 6 (% 2,32) idi. Histerektomi materyalleri-nin histopatolojik raporları incelendiğinde, en yaygın patoloji leiomyoma 83 (%32,17), takiben adenomyozis 78 (% 30,23) ve endometrial hiperplazi 77(29,84) idi. Endometrial polip 13 (% 5,04) vakada tespit edildi. 7 (% 2,71) vakada ise atrofik endometrium mevcuttu. Yine histerektomi materyallerinin serviks incelemelerinde olguların % 54,26’sında kronik servi-sit olduğu gözlendi. Sonuç: Myoma uteri ile endometrial hiperplazilerin yüksek oranda birlikteliği nedeniyle myoma uteri tanısıyla histerek-tomi planlanan hastalarda menometrorajide mevcutsa mut-laka endometrial örnekleme de yapılmalıdır.
FULL TEXT (PDF): 
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  • 2
91-94
  • Turkish

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