Anormal Uterin Kanaması olan Kadınlarda Endometrial Örnekleme Sonuçları: 765 Vakanın Retrospektif Analizi

Year 2015, , 306 - 310, 28.09.2015

Seda Aker Tuncay Yüce , Dilek Acar Cem Atabekoğlu

https://doi.org/10.17826/cutf.99047

Cited By: 5

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.

Keywords

Endometrial örnekleme, Anormal uterin kanama, Premenopozal dönem, Postmenopozal dönem

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.

Keywords

Endometrial sampling, Abnormal uterine bleeding, premenopausal, postmenopausal

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.