Yıl 2020, Cilt 17 , Sayı 1, Sayfalar 266 - 268 2020-03-31

Evaluation of Preoperative and Postoperative Endometrial/Uterine Histopathology Results in Patients with Uterine Prolapse
Uterin Prolapsusu Olan Hastalarda Preoperatif ve Postoperatif Endometriyal / Uterin Histopatoloji Sonuçlarının Değerlendirilmesi

Sema BAKİ YILDIRIM [1] , Özlem Koşar CAN [2] , Burcu YILMAZ HANEGE [3] , Vehbi Yavuz TOKGÖZ [4]


Aim: The aim of the study was to compare the preoperative and postoperative endometrial histopathologic findings and to detect the unexpected malignancies among the asymptomatic women with endometrial thickness below 5 mm, who underwent vaginal hysterectomy for POP. Material and Methods: A total of forty-eight female patients between January 2010 and December 2016 were included in this retrospective cross-sectional study. Pap Smear and endometrial biopsy were performed to all patients before surgery. Also, the endometrial wall thickness of all patients was evaluated by ultrasonography preoperatively. The histopathological data of 48 vaginal hysterectomy patients operated for pelvic organ prolapse were analyzed. Results: The preoperative endometrial biopsy results were observed as atrophic endometrium and proliferative endometrium in 70.8% and 29.2% rates, respectively. The postoperative histopathologic results were found as endometrial cystic atrophy, proliferative endometrium and endometrial polyp in 60.4%, 14% and 25% rates, respectively. In addition, leiomyoma and adenomyosis were determined after hysterectomy in 37.5% and 16.7%, respectively. Conclusion: Our results showed that endometrial sampling is not primarily necessary for asymptomatic uterovaginal prolapse patients if endometrial thickness is less than 5mm. It has been concluded that preoperative evaluation of endometrial thickness by transvaginal ultrasound would be sufficient in patients with these conditions.
Amaç: Bu çalışmanın amacı, preoperatif ve postoperatif endometrial histopatolojik bulguları karşılaştırmak ve endometrial kalınlığı 5 mm'nin altında olan ve POP için vajinal histerektomi yapılan asemptomatik kadınlarda beklenmeyen maligniteleri tespit etmektir. Gereç ve Yöntemler: Bu retrospektif kesitsel çalışmaya Ocak 2010 - Aralık 2016 arasında toplam kırk sekiz kadın hasta dahil edildi. Tüm hastalara ameliyat öncesi Pap Smear ve endometrial biyopsi yapıldı. Ayrıca tüm hastaların endometrial duvar kalınlığı preoperatif olarak ultrasonografi ile değerlendirildi. Pelvik organ prolapsusu nedeniyle opere edilen 48 vajinal histerektomi hastasının histopatolojik verileri analiz edildi. Bulgular: Preoperatif endometrial biyopsi sonuçları sırasıyla % 70.8 ve% 29.2 oranında atrofik endometriyum ve proliferatif endometriyum olarak gözlemlendi. Postoperatif histopatolojik sonuçlar sırasıyla % 60,4, % 14,6 ve % 25 oranlarında endometrial kistik atrofi, proliferatif endometriyum ve endometrial polip olarak bulundu. Ayrıca, histerektomi sonrası sırasıyla % 37,5 ve % 16,7 oranında leyomiyom ve adenomiyoz saptandı. Sonuç: Sonuçlarımız, endometrial örneklemenin endometrial kalınlığın 5 mm'den az olması durumunda asemptomatik uterovaginal prolapsus hastaları için öncelikle gerekli olmadığını gösterdi. Bu şartlara sahip hastalarda, ameliyat öncesi endometrial kalınlığın transvajinal ultrason ile değerlendirilmesi yeterli olacağı sonucuna varılmıştır.
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Birincil Dil en
Konular Kadın Hastalıkları ve Doğum
Bölüm Research Article
Yazarlar

Orcid: 0000-0001-5321-0739
Yazar: Sema BAKİ YILDIRIM
Kurum: Giresun University
Ülke: Turkey


Orcid: 0000-0001-7101-4838
Yazar: Özlem Koşar CAN (Sorumlu Yazar)
Kurum: PAMUKKALE UNIVERSITY
Ülke: Turkey


Orcid: 0000-0003-2322-1255
Yazar: Burcu YILMAZ HANEGE
Kurum: KOC UNIVERSITY
Ülke: Turkey


Orcid: 0000-0002-4113-3850
Yazar: Vehbi Yavuz TOKGÖZ
Kurum: ESKISEHIR OSMANGAZI UNIVERSITY
Ülke: Turkey


Tarihler

Başvuru Tarihi : 2 Ocak 2020
Kabul Tarihi : 21 Şubat 2020
Yayımlanma Tarihi : 31 Mart 2020

Bibtex @araştırma makalesi { jgon669394, journal = {Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi}, issn = {}, eissn = {2667-7849}, address = {Talatpaşa Bulvarı No 128, Hamamönü - ANKARA}, publisher = {T.C. Sağlık Bakanlığı Ankara Şehir Hastanesi}, year = {2020}, volume = {17}, pages = {266 - 268}, doi = {}, title = {Evaluation of Preoperative and Postoperative Endometrial/Uterine Histopathology Results in Patients with Uterine Prolapse}, key = {cite}, author = {BAKİ, Sema and CAN, Özlem Koşar and YILMAZ, Burcu and TOKGÖZ, Vehbi} }
APA BAKİ, S , CAN, Ö , YILMAZ, B , TOKGÖZ, V . (2020). Evaluation of Preoperative and Postoperative Endometrial/Uterine Histopathology Results in Patients with Uterine Prolapse. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi , 17 (1) , 266-268 . Retrieved from https://dergipark.org.tr/tr/pub/jgon/issue/53489/669394
MLA BAKİ, S , CAN, Ö , YILMAZ, B , TOKGÖZ, V . "Evaluation of Preoperative and Postoperative Endometrial/Uterine Histopathology Results in Patients with Uterine Prolapse". Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi 17 (2020 ): 266-268 <https://dergipark.org.tr/tr/pub/jgon/issue/53489/669394>
Chicago BAKİ, S , CAN, Ö , YILMAZ, B , TOKGÖZ, V . "Evaluation of Preoperative and Postoperative Endometrial/Uterine Histopathology Results in Patients with Uterine Prolapse". Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi 17 (2020 ): 266-268
RIS TY - JOUR T1 - Evaluation of Preoperative and Postoperative Endometrial/Uterine Histopathology Results in Patients with Uterine Prolapse AU - Sema BAKİ YILDIRIM , Özlem Koşar CAN , Burcu YILMAZ HANEGE , Vehbi Yavuz TOKGÖZ Y1 - 2020 PY - 2020 N1 - DO - T2 - Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi JF - Journal JO - JOR SP - 266 EP - 268 VL - 17 IS - 1 SN - -2667-7849 M3 - UR - Y2 - 2020 ER -
EndNote %0 Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi Evaluation of Preoperative and Postoperative Endometrial/Uterine Histopathology Results in Patients with Uterine Prolapse %A Sema BAKİ YILDIRIM , Özlem Koşar CAN , Burcu YILMAZ HANEGE , Vehbi Yavuz TOKGÖZ %T Evaluation of Preoperative and Postoperative Endometrial/Uterine Histopathology Results in Patients with Uterine Prolapse %D 2020 %J Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi %P -2667-7849 %V 17 %N 1 %R %U
ISNAD BAKİ, Sema , CAN, Özlem Koşar , YILMAZ, Burcu , TOKGÖZ, Vehbi . "Evaluation of Preoperative and Postoperative Endometrial/Uterine Histopathology Results in Patients with Uterine Prolapse". Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi 17 / 1 (Mart 2020): 266-268 .
AMA BAKİ S , CAN Ö , YILMAZ B , TOKGÖZ V . Evaluation of Preoperative and Postoperative Endometrial/Uterine Histopathology Results in Patients with Uterine Prolapse. JGON. 2020; 17(1): 266-268.
Vancouver BAKİ S , CAN Ö , YILMAZ B , TOKGÖZ V . Evaluation of Preoperative and Postoperative Endometrial/Uterine Histopathology Results in Patients with Uterine Prolapse. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi. 2020; 17(1): 268-266.