Anormal Uterin Kanaması olan Kadınlarda Endometrial Örnekleme Sonuçları: 765 Vakanın Retrospektif Analizi
Abstract
Amaç: Çalışmamızın amacı anormal uterin kanaması olan premenopozal ve postmenopozal hastalarda yapılan endometrial örneklemelerin histopatolojik sonuçlarını sunmaktır. Materyal ve Metod: Ankara Üniversitesi Tıp Fakültesi Hastanesine Eylül 2012-eylül 2014 yılları arasında anormal kanama nedeniyle başvuran ve endometrial örnekleme yapılan hastaların sonuçları retrospektif olarak incelenmiştir. Premenopozal ve postmenopozal hasta gruplarındaki sonuçlar istatistiksel olarak karşılaştırılmıştır. Bulgular: Premenopozal grupta ortalama yaş 43,14 ± 7,92, postmenopozal grupta ise 60,7 ± 7,88 olarak bulunmuştur. Hastaların sonuçlarına bakıldığında %33,3’de endometrial polip, %1,6’sında malignite tespit edilmiştir. Sonuç: Postmenopozal grupta malignite riski daha fazla olduğu için semptomatik olan postmenopozal hastalarda dikkatli olunmalı ve mutlaka endometrial örnekleme yapılmalıdır.
References
- FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductiveage. FIGO Working Group on Menstrual Disorders. Munro MG, Critchley HO, Broder MS, Fraser IS. Int J Gynaecol Obstet. 2011;113:3-13.
- Ronnett B, Kurman R. Precursor lesions of endometrial carcinoma. Blaustein's Pathology of Female Genital Tract. 2002;482.
- Kjerulff KH, Erickson BA, Langenberg PW. Chronic gynecological conditions reported by US women findings from the National Health Interview Survey, 1984 to 1992. Am J Public Health, 1996;86:195
- Albers JR, Hull SK, Wesley RM.Abnormal uterine bleeding. Am Fam Phys. 2004;69:1915-26.
- Ronnett BM, Zaino RJ, Ellenson LH, Kurman RT. Endometrial Carcinoma. In: Kurman RJ, editor. Blaustein’s pathology of the female genital tract. New York Springer. 2001;501-59.
- G, Dangal. A study of endometrium in patients with abnormal uterine bleeding at Chitwan valley . Kathmandu University Medical Journal. 2003;1:110- 12.
- Kurman RJ, Kaminski PF, Norris HJ. The behavior of endometrial hyperplasia.A long term study of 'untreated' hyperplasia in 170 patients . Cancer. 1985;56:403
- Lacey JV, Chia VM. Endometrial hyperplasia and the risk of progression to carcinoma. Maturitas. 2009;63:39-44.
- Tuncer R, Uygur R, Kış S. Ankara Zübeyde Hanım
- Doğumevi 2000 Yılı Endometrial Biopsi Sonuçları: 676 Olgunun Analizi. MN Klinik Bilimler&Doktor. 2003;9:97-9.
- Gredmark T, Kvint S, Havel G, Mattsson LA. Histopathological findings in women with post menopausal bleeding. British Journal of Obstetrics and Gynecology, , 1995;102: 133-136.
- Abdullah LS, Bondagji NS. Histopathological Pattern of Endometrial Sampling Performed for Abnormal Uterine Bleeding. Bahrain Medical Bulletin. 2011;33:1-6.
Endometrial Sampling Results of Women Evaluated for Abnormal Uterine Bleeding: A Retrospective Analysis of 765 Womenn
Abstract
Purpose: Aim of the recent study to evaulate the relationship between premenapousal and postmenapousal women with abnormal uterin bleeding and endometrial sampling histopathological results. Material and Methods: Seven hundred sixty five women who applied Ankara University Departments of Obstetrics and Gynecology,and had endometrial sampling in September 2012-September 2014 were included inthis retrospective study. Patients were grouped as premenapousal and postmenapousal. Data was analyzed with a statistical processing analysing program (SPSS). Results: The mean age was 43,14 ± 7,92 in premenapousal group and 60,7 ± 7,88 in postmenapousal group. Of all cases, 33,3 % had endometrial polip and %1,6 had malignancy. In postmenapousal group had a higher incidence of malignancy. Conclusion: So we have to evaluate postmenapousal patients who have abnormal uterin bleeding more carefully, endometrial sampling should be applied in this patients.
References
- FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductiveage. FIGO Working Group on Menstrual Disorders. Munro MG, Critchley HO, Broder MS, Fraser IS. Int J Gynaecol Obstet. 2011;113:3-13.
- Ronnett B, Kurman R. Precursor lesions of endometrial carcinoma. Blaustein's Pathology of Female Genital Tract. 2002;482.
- Kjerulff KH, Erickson BA, Langenberg PW. Chronic gynecological conditions reported by US women findings from the National Health Interview Survey, 1984 to 1992. Am J Public Health, 1996;86:195
- Albers JR, Hull SK, Wesley RM.Abnormal uterine bleeding. Am Fam Phys. 2004;69:1915-26.
- Ronnett BM, Zaino RJ, Ellenson LH, Kurman RT. Endometrial Carcinoma. In: Kurman RJ, editor. Blaustein’s pathology of the female genital tract. New York Springer. 2001;501-59.
- G, Dangal. A study of endometrium in patients with abnormal uterine bleeding at Chitwan valley . Kathmandu University Medical Journal. 2003;1:110- 12.
- Kurman RJ, Kaminski PF, Norris HJ. The behavior of endometrial hyperplasia.A long term study of 'untreated' hyperplasia in 170 patients . Cancer. 1985;56:403
- Lacey JV, Chia VM. Endometrial hyperplasia and the risk of progression to carcinoma. Maturitas. 2009;63:39-44.
- Tuncer R, Uygur R, Kış S. Ankara Zübeyde Hanım
- Doğumevi 2000 Yılı Endometrial Biopsi Sonuçları: 676 Olgunun Analizi. MN Klinik Bilimler&Doktor. 2003;9:97-9.
- Gredmark T, Kvint S, Havel G, Mattsson LA. Histopathological findings in women with post menopausal bleeding. British Journal of Obstetrics and Gynecology, , 1995;102: 133-136.
- Abdullah LS, Bondagji NS. Histopathological Pattern of Endometrial Sampling Performed for Abnormal Uterine Bleeding. Bahrain Medical Bulletin. 2011;33:1-6.
Details
| Primary Language | English |
|---|---|
| Journal Section | Research |
| Authors | |
| Publication Date | September 28, 2015 |
| Published in Issue | Year 2015 Volume: 40 Issue: 2 |
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