Menopoz yaşı ile meme ultrasonografi sonuçları arasındaki ilişki

Year 2022, , 98 - 102, 28.06.2022

Naziye Gürkan , Mehmet Ağar , Ergül Demirçivi Bör

https://doi.org/10.47582/jompac.1127726

Abstract

Giriş: Kadınların yaşlanmasının doğal süreci olan menopoz, beraberinde pek çok sorunu da getirmektedir. Menopozla birlikte meme bezi dokusu kaybı hızla artar ve meme bezlerinde atrofi, dejenerasyon ve hyalinizasyona bağlı olarak büyük kayıplar meydana gelir. Ultrasonografi (USG) bu meme değişikliklerinin tespit edilmesine yardımcı olur. Bu çalışmada menopozal olgularda 40 yıl öncesi ve sonrası meme USG bulguları karşılaştırıldı.
Gereç ve Yöntem: Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi Kadın Hastalıkları ve Doğum Kliniği’ne Ekim 2014-Eylül 2020 tarihleri arasında başvuran menopozal hastaların dosyaları retrospektif olarak taranarak analiz edildi. Menopoza giren hastaların yaşlarına göre 1. grup 40 yaş altı ve 2. grup 40 yaş üstü olmak üzere iki gruba ayrıldı. 1. grupta (olgu grubu) 52 hasta ve 2. grupta (kontrol grubu) 67 hasta çalışmaya dahil edildi.
Bulgular: Çalışmaya katılanların yaş ortalaması 1. grupta 33.2, 2. grupta 48.6 idi. Vücut kitle indeksleri (BKİ) grup 1’de 24,8 kg/m², grup 2’de 25.1 kg/m² idi. Meme USG bulguları incelendiğinde 1. grupta kist oluşum insidansı istatistiksel olarak anlamlı derecede yüksek bulundu. 2. grup (p<0.05) ve fibroadenom insidansı 1. grupta 2. gruba göre anlamlı derecede yüksek bulundu (p<0.05).
Sonuç: Menopoz, kadınların hayatında önemli bir dönemdir. Meme USG tanı amaçlı yardımcı muayene olarak kullanılabilir. Bu çalışmada meme kitleleri ve malignite oranları menopoz yaşı ve özellikle ileri yaşlarda menopoz ile doğrudan ilişkilidir.

Keywords

Meme ultrasonografisi, meme, menopoz

Relationship between age at menopause and breast ultrasonography results

Abstract

Aim: Menopause, the natural process of women’s aging, brings many problems. With menopause, the loss of mammary glandular tissue increases rapidly, and large losses occur in the mammary glands due to atrophy, degeneration, and hyalinization. Ultrasonography (USG) helps to detect these breast changes. This study compared breast USG findings in menopausal cases before and after 40 years.
Material and Method: The files of menopausal patients who applied to the Gynecology and Obstetrics Clinic of Göztepe Prof. Dr. Süleyman Yalçın City Hospital between October 2014 and September 2020 were retrospectively scanned and analyzed. According to the age of patients entering menopause, it was divided into two groups: 1st group under 40 years old and 2nd group over 40 years old. 52 patients in the 1st group (case group) and 67 patients in the 2nd group (control group) were included in the study.
Results: The mean age of the participants in the study was 33.2 in the 1st group and 48.6 in the 2nd group. Body mass indexes (BMI) were 24.8 kg/m² in group 1 and 25.1 kg/m² in group 2. When the breast USG findings were examined, the incidence of cyst formation in the 1st group was found to be statistically significantly higher than in the 2nd group (p<0.05), and the incidence of fibroadenoma was found to be significantly higher in the 1st group than in the 2nd group (p<0.05).
Conclusion: Menopause is an important period in the life of women. Breast USG can be used as an auxiliary examination for diagnostic purposes. In the present study, the rate of breast masses and malignancies was directly related to menopausal age and especially menopause at older ages.

Keywords

Breast ultrasonography, breast, menopause

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