Results Of Our Endometrial Samplings: Analysis Of 655 Cases

Year 2017, Volume: 14 Issue: 2, 56 - 59, 01.04.2017

Ersin Çintesun Feyza Nur İncesu Çintesun Buket Karataş Aslan Mustafa Gazi Uçar Enver Yarıkkaya

Abstract

Aim: To evaluate the relationship between endometrial sampling indications and histopathological results at a local centerMaterial and Methods: 655 patients with abnormal bleeding applied to Agrı State Hospital and had endometrial sampling between January 2014-March 2016 were included in this study. Ethics committee approval and patient records were obtained from hospital automation system.The relationship between endometrial biopsy indications and histopathological results were examined. SPSS 22 software was used for statistical analysis.Results: The mean age of patients was 47.3 ± 6.6. The indications were menorrhagia / menometroraghia 82.6% , postmenopausal bleeding %14.2 , myoma uteri %2 and cervical polyp %1.2 . The most common histopathological result was endometrial polpys %53,5 the others respectively; secretory/proliferative endometrium %26.1 , insufficient material %8.7 , atrophy %5.64 , endometrial hyperplasia %3.2 , endometritis %1.9 , endometrial cancer %0.3 , myom uteri %0.3 and other %0,15 .Conclusion: Endometrial polyp was almost most common result in all biopsy indications. Sonohysterography and diagnostic hysteroscopy can be used in addition to endometrial sampling. An endometrial sampling has to be performed if endometrial cancer risk factors exist in patients with leiomyoma planning surgery. Due to the common togethership between endometrial polyps and cervical polyps, endometrial evaluation is needed in patients with cervical polyp.

Keywords

Abnormal uterine bleeding, endometrial biopsy, menometroraghia of menorrhagia, polyp

Endometrial Örnekleme Sonuçlarımız: 655 Olgunun Analizi

Abstract

Amaç: Lokal bir merkezdeki endometrial örneklemelerin histopatolojik sonuçlarının değerlendirilmesiGereç ve Yöntemler: Ağrı Devlet Hastanesi’nde Ocak 2014-Mart 2016 tarihleri arasında anormal uterin kanama nedeniyle endometrial biyopsi yapılmış 655 hastanın sonuçları retrospektif olarak incelenmiştir. Etik kurulu onayı alınmış ve hasta kayıtları hastane otomasyon sisteminden elde edilmiştir. Endometrial biyopsi endikasyonları ile histopatolojik sonuçları arasındaki ilişki araştırılmıştır. İstatistiksel analiz için SPSS 22 programı kullanılmıştır.Bulgular: Hastaların yaş ortalaması 47,3±6,6 idi. Endometrial biyopsi endikasyonları sırasıyla menoraji/metroraji %82,6 , postmenopozal kanama %14,2 , myom %2 ve servikal polipti %1.2 . Histopatolojik sonuçlar ise en sık endometrial polip %53.5 sonrasında sırasıyla sekretuar/proliferatif endometrium %26.1 , yetersiz materyal %8.7 , atrofi %5.64 , endometrial hiperplazi %3.2 , endometrit %1.9 , endometrial kanser %0.3 , myom %0.3 ve diğer %0.15 olarak raporlanmıştır.Sonuç: Tüm örnekleme endikasyonlarında hemen neredeyse en sık patoloji endometrial polip gelmiştir. Endometrial biyopsi yöntemlerine kombine olarak histerosonografi ve diagnostik histeroskopi de kullanılmaya başlanması düşünülebilir. Myoma uteri sebebi ile histerektomi veya myomektomi planlanan hastalarda eğer endometrium kanseri risk faktörleri varsa endometrial biyopsi açısından değerlendirilmelidir. Servikal polipektomi yapılan hastalarda endometrial polip birlikteliği olabileceği düşünülerek endometrial örnekleme de yapılmalıdır.

Keywords

Anormal uterin kanama, endometrial biyopsi, menometroraji, menoraji, polip

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