Mehmet YILMAZ, İlhan Bahri DELİBAŞ, Paşa UlUĞ, Eşref KABALAR, Ünal İSAOĞLU, Ahmet Erkan BİLİCİ, İlay GÖZÜKARA

Histerektomi Materyallerinde Histopatolojik Tanıların İncelenmesi

AMAÇ: Bu çalışmada benign ön tanılarla yapılan histerektomilerin, endikasyonlar ve histopatolojik tanılar açısından değerlendirilmesi amaçlandı.YÖNTEMLER: Ocak 2011 ile Aralık 2012 yılları arasında yapılmış olan 258 histerektomi olgusu endikasyonlar ve histopatolojik tanılar açısından retrospektif olarak değerlendirildi.BULGULAR: En sık histerektomi endikasyonu anormal uterin kanama idi 87 %33,72 . Daha sonra sırası ile myoma uteri 73 %28,29 ve endometrial hiperplazi 67 %25,96 olarak tespit edildi. Diğer klinik endikasyonlar adenomyozis 25 % 9,68 ve uterus prolapsusu 6 % 2,32 idi. Histerektomi materyallerinin histopatolojik raporları incelendiğinde, en yaygın patoloji leiomyoma 83 %32,17 , takiben adenomyozis 78 % 30,23 ve endometrial hiperplazi 77 29,84 idi. Endometrial polip 13 % 5,04 vakada tespit edildi. 7 % 2,71 vakada ise atrofik endometrium mevcuttu. Yine histerektomi materyallerinin serviks incelemelerinde olguların % 54,26’sında kronik servisit olduğu gözlendi.SONUÇ: Myoma uteri ile endometrial hiperplazilerin yüksek oranda birlikteliği nedeniyle myoma uteri tanısıyla histerektomi planlanan hastalarda menometrorajide mevcutsa mutlaka endometrial örnekleme de yapılmalıdır.

Anahtar Kelimeler:

Histerektomi, Endikasyon, Patoloji

The Evaluation of Histopathologic Diagnosis in Specimens of Hysterectomy

OBJECTIVE: To evaluate hysterectomy procedures performed for benign conditions in terms of indications and histopathological resultsMETHODS: Retrospective analysis of 258 hysterectomy cases, which were performed between January 2011 and December 2012, was conducted to review indications and histopathological diagnoses. RESULTS: : The most frequent indications for hysterectomy were abnormal uterine bleeding 87, 33,72% , myoma uteri 73, 28,29% and endometrial hyperplasia 67, 25,96% , respectively. Other clinical indications were adenomyosis 25, 9,68% and uterine prolapse 6, 2,32% . The most common histopathological diagnoses reported for hysterectomy specimens were leiomyoma 83, 32,17% , adenomyosis 78, 30,23% and endometrial hyperplasia 77 29,84% , respectively. Endometrial polyp was diagnosed in specimens of 13 patients 5,04% . Endometrial atrophy was reported in 7 patients 2,71% . Cervical histopathology of hysterectomy materials revealed chronic cervicitis in 54,26% of the patients.CONCLUSION: Due to the high coincidence of myoma uteri and endometrial hyperplasia, endometrial sampling should be performed in patients who are being considered for hysterectomy for myoma uteri and also have menometrorrhagia.

Keywords:

Hysterectomy, Indication, Pathology,

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