Year 2010, Volume 32, Issue 4, Pages 329 - 333 2010-05-12

BNecessity of Preoperative Endometrial Sampling for Hysterectomies With Benign Indications
Necessity of preoperative endometrial sampling for hysterectomies with benign indications

Aslı Tamay [1] , Yasemin Yıldırım [2] , Sultan Buğday [3] , Semra Koltan [4] , Tevfik Güvenal [5] , Faik Koyuncu [6] , İrem Altaş [7] , Ali Kandiloğlu [8]

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Aim. The purpose of this study is to investigate whether preoperative endometrial sampling is necessary for hysterectomies with benign indications. Material and Methods. Sixty-eight cases which had hysterectomy for benign indications at Celal Bayar University Department of Obstetrics and Gynecology between 2005 and 2008 were investigated retrospectively. All subjects had had D&C before the surgery. Data about age of subjects, hysterectomy indications, endometrial sampling results and endometrial findings of hysterectomy materials were collected from patient files and pathology reports. Preoperative and postoperative endometrial pathology results were compared. Results. The mean age of the patients was 47 (±8.0). Hysterectomy indications were myoma uteri in 50 cases, resistant bleeding in 12 cases, adnexial mass in 5 cases and retention of intrauterin device in 1 case. Preoperative endometrial samplings resulted in normal endometrium, proliferative endometrium, secretory endometrium, endometrial hyperplasia, endometrial polyp, chronic endometritis and insufficient material, none of the results was endometrial cancer. Postoperative pathologies of the endometrium were proliferative endometrium, secretory endometrium, endometrial hyperplasia, inactive endometrium, atrophic andometrium, basal endometrium, endometrial polyp and other diagnosis. Discussion: Preoperative endometrial sampling is not necessary for cases planned to undergo hysterectomy for benign indications. 

Abstract

Aim. The purpose of this study is to investigate the necessity of  preoperative endometrial sampling  for hysterectomies with benign indications. Methods. Sixty-eight cases that had hysterectomy for benign indications at Celal Bayar University Department of Obstetrics and Gynecology between 2005 and 2008 were investigated retrospectively. All subjects had undergone dilatation and curettage ( D&C) under surface anesthesia before the surgery. Data about age of subjects, hysterectomy indications, endometrial sampling results and endometrial pathology findings of hysterectomy materials were collected from patient files and pathology reports. Preoperative and postoperative endometrial pathology results were compared. Results. The mean age of the patients was 47 (±8.0). Hysterectomy indications were myoma uteri in 50 cases, resistant bleeding in 12 cases, adnexal mass in 5 cases and retention of intrauterine device in 1 case. Preoperative endometrial samplings revealed proliferative endometrium, secretory endometrium, endometrial hyperplasia, endometrial polyp, chronic endometritis and insufficient material, but not endometrial cancer. Postoperative pathologies of the endometrium were proliferative endometrium, secretory endometrium, endometrial hyperplasia, inactive endometrium, atrophic endometrium, basal endometrium and endometrial polyp. Conclusion. Preoperative endometrial sampling is not necessary for cases planned to undergo hysterectomy for benign indications.

Key words: Hysterectomy, endometrial sampling, preoperative

 

Özet

Amaç. Bu çalışmanın amacı benign nedenlerle histerektomi planlanan olgularda operasyon öncesi endometriyal örneklemenin gerekliliğini değerlendirmektir. Yöntem. 2005-2008 yılları arasında Celal Bayar Üniversitesi Kadın Hastalıkları ve Doğum Anabilim Dalı'nda benign nedenle histerektomi yapılan 68 olgu retrospektif olarak incelendi. Olguların hepsine operasyon öncesi yüzeyel anestezi ile dilatasyon ve küretaj (D&C) uygulanmıştı. Olguların yaşları, histerektomi endikasyonları, endometriyal örnekleme sonuçları ile histerektomi materyalindeki endometriyum bulguları verileri hasta dosyaları ve patoloji raporlarından elde edildi. Preoperatif ve postoperatif endometriyum bulguları karşılaştırıldı. Bulgular. Olguların yaş ortalamaları 47 (±8.0), histerektomi endikasyonları 50 olguda myoma uteri, 12 olguda tedaviye dirençli kanama, 5 olguda adneksiyel kitle ve 1 olguda rahim içi araç retansiyonu idi. Preoperatif endometriyal örnekleme bulguları proliferatif endometrium, sekretuar endometrium, endometrial hiperplazi, endometrial polip, kronik endometrit ve yetersiz materyal şeklinde olup endometriyal kanser saptanmadı. Postoperatif endometriyal bulgular proliferatif endometrium, sekretuar endometrium, endometriyal hiperplazi, inaktif endometrium, atrofik endometrium, bazal endometrium ve endometriyal polip şeklinde idi. Sonuç. Bu çalışmada benign nedenlerle histerektomi planlanan olgularda operasyon öncesi endometriumun örneklenmesinin gerekli olmadığı görülmüştür.

Anahtar sözcükler: Histerektomi, endometriyal örnekleme, preoperative

Histerektomi, endometriyal örnekleme, preoperative
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Primary Language en
Journal Section Surgical Science Research Articles
Authors

Author: Aslı Tamay

Author: Yasemin Yıldırım

Author: Sultan Buğday

Author: Semra Koltan

Author: Tevfik Güvenal

Author: Faik Koyuncu

Author: İrem Altaş

Author: Ali Kandiloğlu

Bibtex @ { 22355870, journal = {Cumhuriyet Medical Journal}, issn = {}, eissn = {1305-0028}, address = {Cumhuriyet University}, year = {2010}, volume = {32}, pages = {329 - 333}, doi = {}, title = {Necessity of preoperative endometrial sampling for hysterectomies with benign indications}, key = {cite}, author = {Tamay, Aslı and Yıldırım, Yasemin and Buğday, Sultan and Koltan, Semra and Güvenal, Tevfik and Koyuncu, Faik and Altaş, İrem and Kandiloğlu, Ali} }
APA Tamay, A , Yıldırım, Y , Buğday, S , Koltan, S , Güvenal, T , Koyuncu, F , Altaş, İ , Kandiloğlu, A . (2010). Necessity of preoperative endometrial sampling for hysterectomies with benign indications. Cumhuriyet Medical Journal, 32 (4), 329-333. Retrieved from http://dergipark.org.tr/223/issue/4215/55870
MLA Tamay, A , Yıldırım, Y , Buğday, S , Koltan, S , Güvenal, T , Koyuncu, F , Altaş, İ , Kandiloğlu, A . "Necessity of preoperative endometrial sampling for hysterectomies with benign indications". Cumhuriyet Medical Journal 32 (2010): 329-333 <http://dergipark.org.tr/223/issue/4215/55870>
Chicago Tamay, A , Yıldırım, Y , Buğday, S , Koltan, S , Güvenal, T , Koyuncu, F , Altaş, İ , Kandiloğlu, A . "Necessity of preoperative endometrial sampling for hysterectomies with benign indications". Cumhuriyet Medical Journal 32 (2010): 329-333
RIS TY - JOUR T1 - Necessity of preoperative endometrial sampling for hysterectomies with benign indications AU - Aslı Tamay , Yasemin Yıldırım , Sultan Buğday , Semra Koltan , Tevfik Güvenal , Faik Koyuncu , İrem Altaş , Ali Kandiloğlu Y1 - 2010 PY - 2010 N1 - DO - T2 - Cumhuriyet Medical Journal JF - Journal JO - JOR SP - 329 EP - 333 VL - 32 IS - 4 SN - -1305-0028 M3 - UR - Y2 - 2019 ER -
EndNote %0 Cumhuriyet Medical Journal Necessity of preoperative endometrial sampling for hysterectomies with benign indications %A Aslı Tamay , Yasemin Yıldırım , Sultan Buğday , Semra Koltan , Tevfik Güvenal , Faik Koyuncu , İrem Altaş , Ali Kandiloğlu %T Necessity of preoperative endometrial sampling for hysterectomies with benign indications %D 2010 %J Cumhuriyet Medical Journal %P -1305-0028 %V 32 %N 4 %R %U
ISNAD Tamay, Aslı , Yıldırım, Yasemin , Buğday, Sultan , Koltan, Semra , Güvenal, Tevfik , Koyuncu, Faik , Altaş, İrem , Kandiloğlu, Ali . "Necessity of preoperative endometrial sampling for hysterectomies with benign indications". Cumhuriyet Medical Journal 32 / 4 (May 2010): 329-333.