TY - JOUR T1 - Uterus Myomlarının Etyolojisinde Hormonal Teori Üzerine TT - An Investigation on the Hormonal Theory in the Etiology of Uterine Myomas AU - Yavuz, Hikmet PY - 1971 DA - October JF - Ankara Üniversitesi Tıp Fakültesi Mecmuası PB - Ankara University WT - DergiPark SN - 0365-8104 SP - 952 EP - 962 VL - 24 IS - 5 LA - en AB - This study retrospectively analyzes 148 cases of uterine myoma diagnosed and treated with total hysterectomy and salpingo-oophorectomy at Ankara University Faculty of Medicine, Department of Obstetrics and Gynecology between 1960 and 1972. Histopathological evaluations of endometrial and ovarian tissues were performed to assess the role of estrogen in the etiology of uterine myomas. The majority of cases demonstrated endometrial hyperplasia and follicular cysts or degenerative changes in the ovaries. These findings support the theory that hormonal imbalance, particularly hyperestrogenism, plays a significant role in the development of myomas. However, the presence of myomas in some hormonally normal cases suggests that multiple etiological factors may be involved. KW - Uterine myoma KW - hormonal theory KW - estrogen KW - endometrial hyperplasia KW - follicular cyst KW - histopathology KW - hysterectomy N2 - Bu çalışmada, Ankara Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Kliniği’nde 1960–1972 yılları arasında uterus myomu tanısı alarak total histerektomi ve salpingo-ooferektomi uygulanan 148 olgu incelenmiştir. Endometriyum ve over dokularının histopatolojik değerlendirilmesi ile östrojen hormonunun myom etiyolojisindeki rolü araştırılmıştır. Vakaların büyük çoğunluğunda endometrial hiperplazi ve overde follikül kisti veya kistik dejenerasyon tespit edilmiştir. Bu bulgular uterus myomlarının gelişiminde hormonal dengesizlik, özellikle de hiperöstrinizmin önemli rol oynadığını desteklemektedir. Bununla birlikte, bazı vakalarda hormonal bulgular olmadan da myom saptanması, etyolojide birden fazla faktörün etkili olabileceğini düşündürmektedir. CR - BURROWS, H.: The influence of oestrogens on the formation of uterine tumors. Cited in Kennet Bowes’s Modern Trends in Obstetrics and Gynaecology. Second series, Butterworth Co., London, 1955. CR - BLONDET, C.: Contributo clinico-Statistico allo studio etiopathogenetico dei fibromiomi della donna. Folia Gynaecologica, Genova, 41: 509, 1946. CR - CUSI RAMON, M.: Further contributions in the study of fibromatosis uteri. Toko-Ginec. Pract., 11: 51, 1952. CR - GRANDIN, D. J.: A review of 445 pregnancies complicated by fibromyomas. Amer. J. Obstet. Gynec., 57: 532, 1949. CR - KANTNER, A. E., KLAWANS, A. H., BAUER, C. P.: Study of fibromyomas of the uterus with respect to the endometrium, myometrium, symptoms and associated pathology. Amer. J. Obstet. Gynec., 32: 183, 1936. CR - JAMERI, E.: Action prolongée d’oestrogènes de synthèse a la femelle de cobaye (fibromatose). Annales d’Endocrinologie, 8: 48, 1947. CR - KIMBROUGH, R. A.: Symposium on fibromyomas of the uterus. Clin. Obstet. Gynec., 1: 407, 1958. CR - LINARD, R.: Sur les hémorragies des fibromes utérins. Gynécologie et Obstetrique, 48: 43, 1949. CR - LIPSCHÜTZ, A.: Steroid hormones and tumors. 1. Baskı, Williams-Wilkins Comp., Baltimore, 1950. CR - LYNCH, F. W.: Fibroids of the uterus and allied tumors. Davis’ Gynecology and Obstetrics, W. F. Prior Comp. Inc. Maryland, 2: 1, 1955. CR - MEYER, R.: Über entzündliche heterope epithel-Wucherungen im weiblichen Genitalgebiete. Virchows Arch. f. Path. Anat., 195: 487, 1900. CR - MILLER, N. F., LUDOVICI, P. P., ARBOR, A.: On the development of uterine fibroids. Amer. J. Obstet. Gynec., 70: 720, 1955. CR - NELSON, W. O.: Endometrial and myometrial changes, including fibromyomatous nodules induced in the uterus of the guinea-pig by prolonged administration of the estrogenic hormones. Anat. Res., 68: 99, 1937. CR - NOVAK, E. R., JONES, G. S.: Novak’s Textbook of Gynecology. 6. Baskı, The Williams-Wilkins Comp., Baltimore, 1961. CR - NOVAK, E. R., WOODRUFF, J. D.: Novak’s Gynecologic and Obstetric Pathology. 5. Baskı, W. B. Saunders Comp., Philadelphia, 1966. CR - PARSONS, L., SOMMERS, S. C.: Gynecology. 1. Baskı, W. B. Saunders Comp., Philadelphia, 1963. CR - PEEL, J. H.: The role of major surgery in infertility. Amer. J. Obstet. Gynec., 71: 707, 1956. RANDALL, J. H., ODELL, L. D.: Fibroids in pregnancy. Amer. J. Obstet. Gynec. 46: 349, 1943. CR - RUBIN, I. C., NOVAK, J.: Tumors of the female sex organs. Integrated Gynecology, Principle and Practice. McGraw-Hill Book Comp. Inc., New York, 2: 206, 1956. CR - SCHWARZ, OTTO: Benign diffuse enlargement of the uterus. Amer. J. Obstet. Gynec. 61: 901, 1951. CR - Stein, A., MAURO, J., ROSENBLUM, I.: Dissociated respons in multiple endocrine target organs. Acta Cytol. 10: 416, 1966. CR - WITHERSPOON, J. T., BUTTER, V. W.: Etiology of fibroids. Surg. Gynec. Obstet. 58: 57, 1934. UR - https://dergipark.org.tr/en/pub/autfm/issue//1737374 L1 - https://dergipark.org.tr/en/download/article-file/5034170 ER -