Postmenopozal Kadınlarda Saptanan Endometriyal Kalınlaşmanın değerlendirilmesinde ofis Histeroskopi ve Sonuçları

Year 2019, Volume: 2 Issue: 3, 97 - 103, 09.08.2019

Elif Ganime Aydeniz Talat Umut Kutlu Dilek

Abstract

Amaç: Bu çalışmada hiç semptomu olmayan veya en az bir kez kanama şikayeti yaşamış postmenopozal hastaların klinik ve histopatolojik açıdan değerlendirilmesi amaçlanmıştır.

Gereç ve yöntem: Retrospektif olarak Özel Bağlar Hastanesi, Kadın Hastalıkları ve Doğum kliniğine başvuran 99 adet kadın değerlendirilmeye alınmıştır. Bu hastaların hepsi en az 2 yıldır menopozda olup semptom olarak menopozal süreçte ya kanama yaşamamış veya en az bir kez kanama geçirip hastaneye başvurmuşlardı. Endometrial kalınlaşma 5 mm ve üzerinde endometrium dokusu olarak kabul edilmiştir. Biyopsi işlemi direkt kaviteyi görerek ofis histeroskopi eşliğinde soğuk mikro makas ve punch biyopsi aleti ile yapıldı.

Bulgular: Yapılan histopatolojik değerlendirmede hastaların kanaması olmasa dahi kalın endometriumun değerlendirilmesinin önemli olduğu sonucuna varıldı. Kanamanın büyük bir bölümünü atrofik endometrium (n:46) oluşturup, kanaması olmayan kalın endometriumlu hastalar ağırlıklı olarak polip (n:19) histopatolojik tanısı almışlardı.

Sonuç: Postmenopozal kanama ile başvuran kadınlarda endometrial atrofi başta gelen neden olsa da ihmal edilmeden histopatolojik tanıya gidilmelidir. Benzer şekilde asemptomatik kalın endometriumu olan kadınlarda da ofis histeroskopi ve histopatolojik tanıya gidilmelidir.

Keywords

Endometrial biyopsi, Histeroskopi, Postmenopozal

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