Clinico-pathologic features of 94 cases undergone conization treatment

Yıl 2007, Cilt: 38 Sayı: 1, 11 - 15, 01.02.2007

Selçuk Ayas Ateş Karateke İlknur Aköz Handan Çetiner İlter Yenidede

Öz

Clinico-pathologic features of 94 cases undergone Conization Treatment Objective: To evaluate clinico-pathologic features of 94 cases undergone Conization. Materials Methods: Retrospective chart datas of 94 patients who underwent conization operation between June 2001 and August 2006 were reviewed. Charts were analyzed for the following: age, gravida, parity, smoking habit, indication for conization, histopathologic results of cervical biopsies directed by colposcopy, histopathologic results of conizations, clinical presentation and complications of conizations. Results: Mean age was 40.1 ±9.1. Conization indications were finding epithelial cell abnormalities, in particular high-grade squamous intraepithelial lesions (70 patients) and unsatisfactory colposcopy (8 patients) and finding Cervical Intrepithelial Neoplasia during endocervical curettage ( 5 patients) and cytologic diagnosis inconsistent with histologic diagnosis based on directed biopsy findings (2 patients) and cytologic or histologic evidence of premalignant or malignant glandular epithelium (9 patients). Two vaginal bleeding and one cervical stenosis were the complications. Conclusion: Cold conization has its own place in cervical dysplasia because of either it can be used as a diagnostic tool and a treatment modality or it can supply sufficient amount of tissue sample to diagno.se cervical cancer. To prevent and decrease mortality and morbidity of cervical carcinoma a national screening organization is needed.

Anahtar Kelimeler

Conization, Retrospective Studies, Age Distribution, Gravidity, Parity, Colposcopy, Uterine Cervical Neoplasms

Konizasyon uygulanan 94 hastanın kliniko-patolojisi

Öz

Amaç: Doksandört hastanın kliniko-patolojik özeliklerini irdelemek ve değerlendirmektir. Materyal Metod: Haziran 2001 ve Ağustos 2006 tarihleri arasında konizasyon operasyonu uygulanan 94 hastanın dosyalarının retrospektif olarak incelenmiştir. Kayıtlar şu özellikleri ile irdelenmiştir; yaş, gravida, parite, başvuru nedeni, sigara kullanımı, kolposkopi ile yönlendirilmiş biyopsi sonuçlan, konizasyon endikasyonu, konizasyonların histopatolojik sonuçları ve konizasyona bağlı komplikasyonlar açısından değerlendirilmesiyle yapılmıştır. Bulgular: Ortalama yaş 40.1 ±9.1 idi. Konizasyon endikasyonlarımız; kolposkopi ile yönlendirilmiş biyopsi sonucu yüksek gradlı intraepitelyal lezyon olan 70 hasta (% 74.4), yetersiz kolposkopik bulgusu olan 8 hasta (% 8.5), kolposkopi ile yönlendirilmiş biyopsi sonucu ile sitolojik tanı uyumsuzluğu olan 2 hasta (% 2.1), endoservikal küretajda servikal intraepitelyal neoplazi olan 5 hasta (% 5.3), sitolojik yada histolojik malign veya premalign glandüler epitel bulgusu olan 9 hasta (% 9.5) ye toplamda 94 hasta olmak üzere 5 ana grupta idi. İki vajinal kanama ve 1 servikal stenoz komplikasyonlarımız idi. Sonuç: Soğuk konizasyon invazif serviks kanserini ekarte etmekte yeterli doku örneği sağladığı ve hem teşhis hem de tedavi edici yöntem olarak kullanılabilindiğinden, servikal displazilerdeki önemini korumaya devam etmektedir. Serviks kanserini önleme amaçlı ulusal bir organizasyon gereklidir

Anahtar Kelimeler

Konizasyon, Geriyedönük çalışma, Yaş dağılımı, Gebe kalma sayısı, Parite, Kolposkopi, Uterin servikal neoplazmlar

Kaynakça

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