Virjin Hastada Vajenden Doğmuş Endometriyal Polip: Bir Olgu Sunumu

Öz

Endometriyal polipler uterusun en sık görülen polip türlerindendir. Endometriyumdan köken almaları nedeniyle uterusun içinde bulunurlar. Nadir olarak saplı olanlar vajene doğabilirler. Bu yazıda virjin bir hastada vajeni de aşarak himen dışına doğmuş saplı bir polip olgu sunumu yapılmıştır. 25 yaşındaki virjin hasta; jinekoloji polikliniğine vajinasının dışına sarkmış kanlı parça ve vajinal kanama şikayetiyle başvurdu. Yapılan muayenede sırasıyla vajen girişinden dışarı doğru sarkan yaklaşık 4x5 cm’lik kitle izlendi. Parça görüldüğü yerden eksize edilerek histopatolojiye gönderildi. Vajene doğmuş endometriyal polipler saplı vajene doğmuş myomlar ile karışabilir. Endometriyal polipler malignansi potansiyeli taşıyabilmeleri sebebiyle eksizyonel biyopsi ve endometriyal biyopsi incelemesi yapılması gerekmektedir.

Anahtar Kelimeler

• Endometriyal Polip,Vajinal Kanama,Virjin

Endometrial Polyp Which Protuted From Vagina in a Virgin Patient: A Case Report

Öz

Endometrial polyps are the most common polyp types of the uterine. They are presented in the uterine due to their origins from endometrium. Rarely pedunculated ones could outgrow the vagina. A pedunculated polyp, which pass over the vagina and protrude out of hymen in a virgin woman, is presented as a case report in this study. A 25-year-old virgin patient applied with the complaint of a prolapsed hemorrhagic mass from her vagina and vaginal bleeding to the gynecology polyclinic. The mass which protruded out from the vaginal entrance, was observed approximately 4x5 cm in the examination. The mass was excused where it was seen and was referred to histopathology laboratory. Endometrial polyps, which are protruded to vagina, could be confused with pedunculated myomas which are also protruded to vagina. Because endometrial polyps could carry malignancy potential, excisional biopsy and endometrial biopsy should be performed.

Anahtar Kelimeler

• Endometrial Polyp,Vaginal Bleeding,Virgin

Kaynakça

1. 1. Sherman ME, Mazur MT, Kurman RJ. Benign diseases of the endometrium. In: Kurman RJ, editor. Blaunstein’s pathology of the female genital tract. New York: Springer, 2002;421–66.
2. 2. Perez-Medina T, Martinez O, Folgueira G, Bjo J. Which endometrial polyps should be resected? J Am Assoc Gynecol Laparosc. 1999;6:71-4.
3. 3. Sharma M, Taylor A, Magos A. Management of endometrial polyps: a clinical review. Reviews in Gynaecological Practice. 2004;4:1-6.
4. 4. Berek JS, Hillard P. Initial Assessment and Communication. In Berek JS ed. Berek & Novak’s Gynecology. Vol. 15. Philadelphia:, Lippincott Williams & Wilkins, 2012;2-22.
5. 5. Arıcı B, Cengiz H, Yaşar L, Özdemir İA, Keven MC. Endometriyal poliplerde sayı, çap ve lokalizasyonun; laboratuvar, klinik ve histopatolojik bulgularla ilişkisi. Gaziantep Tıp Derg. 2012;18:90-4.
6. 6. Hillard P. Benign Disease of the Female Reproductive Tract. In Berek JS ed. Berek & Novak’s Gynecology. Vol. 15. Philadelphia: Lippincott Williams & Wilkins, 2012;374- 437.
7. 7. Ryan GL, Syrop CH, Van Voorhis BJ. Role, epidemiology, and natural history of benign uterine mass lesions. Clin Obstet Gynecol. 2005;48:312-24.
8. 8. Reslova T, Tosner J, Resl M, Kugler R, Vavrova I. Endometrial polyps. A clinical study of 245 cases. Arch Gynecol Obstet. 1999;262:133-9.

9. 9. Hileeto D, Fadare O, Martel M, Zheng W. Age dependent association of endometrial polyps with increased risk of cancer involvement. World J Surg Oncol. 2005;9:8.
10. 10. Mittal K, Schwartz L, Goswami S, Demopoulos R. Estrogen and progesterone receptor expression in endometrial polyps. Int J Gynecol Pathol. 1996;15:345-8.
11. 11. Chavez NF, Garner EO, Khan W et al. Does the introduction of new technology change population demographics? Minimally invasive technologies and endometrial polyps. Gynecol Obstet Invest. 2002;54:217-20.
12. 12. Golan A, Zachalka N, Lurie S, Sagiv R, Glezerman M. Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple, and definitive procedure with minimal morbidity. Arch Gynecol Obstet. 2005;271:11-3.
13. 13. Varras M, Akrivis Ch. Large endometrial polyp with sarcomatous stromal components following longterm tamoxifen treatment for breast cancer: a case report and review of the literature. Eur J Gynaecol Oncol. 2003;24:565-8.