Ali SEVEN, Suna KABİL KUCUR, Cengiz KOÇAK, İlay GÖZÜKARA, Beril YÜKSEL, Murat POLAT, Hüseyin METİNEREN, Nadi KESKİN

ENDOMETRİAL POLİP VE TAM KAN SAYIMI PARAMETRELERİ ARASINDAKİ İLİŞKİNİN DEĞERLENDİRİLMESİ Evaluation of the Relationship Between Endometrial Polyp and Complete Blood Count Parameters

Amaç: Endometrial polip ile tam kan sayımı parametreleri, nötrofil/lenfosit oranı (NLR) ve trombosit/lenfositoranı (PLR) arasındaki ilişkiyi değerlendirmek.Gereç ve Yöntemler: Dumlupınar Üniversitesi Kütahya Evliya Çelebi Eğitim ve Araştırma Hastanesi’nde 2014Ocak ile 2015 Haziran ayları arasında histeroskopi (H/S) yapılan hastaların dosyaları ve patoloji sonuçları tarandı.Çalışmaya toplam 96 hasta dahil edildi ve olgular yapılan H/S sonucunda herhangi bir endometrial patolojisiolmayanlar (kontrol grubu, n=45) ve endometrial polipi (polip grubu, n=51) olanlar şeklinde iki gruba ayrıldı.Gruplar arasında hemogram parametreleri, NLR ve PLR açısından karşılaştırma yapıldı. Ek olarak; polip grubukendi arasında polip sayısına göre iki gruba ayrılarak alt grup analizi yapıldı.Bulgular: Kontrol grubunu ve polip grubunun ortalama trombosit hacmi (MPV) değerleri sırasıyla 8,6±0,98 ve8,31±0,89’idi ve gruplar arasında istatistiksel anlamlı fark saptanmadı (p=0,13). Kontrol grubunun PLR değeri138,98±60,51 iken polip grubunun 146,89±61,33 idi (p=0,52). NLR ise; kontrol grubunun 2,45±1,45, polip grubunun2,79±2,25 (p=0,81) şeklinde idi. Gruplar arasında tam kan sayımı parametreleri, PLR ve NLR değerleriaçısından istatistiksel olarak anlamlı fark bulunmadı. Ancak; yapılan alt grup analizi sonuçlarında, 1 polipi olangruba göre 2 ve üzeri polipi olan grupta MPV değerleri istatistiksel olarak anlamlı yüksek bulundu (p=0,035).Sonuç: Endometrial polip ile tam kan sayımı parametreleri, NLR ve PLR arasında anlamlı bir ilişki olmadığıtespit edilmiştir.ABSTRACTAim: To evaluate the relationship between endometrial polyp and parameters of complete blood count,neutrophil/lymphocyte ratio (NLR) and platelet/lymphocyte ratio (PLR).Materials and Methods: We reviewed medical files and pathological reports of patients who underwenthysteroscopy (H/S) procedure between January 2014 and June 2015 in Dumlupınar University Kütahya EvliyaCelebi Training and Research Hospital. Totally 96 patients were included in the study, and based on H/Sexamination, the cases were classified into two groups as those who did not have any endometrial pathology(control group, n=45) and those who had endometrial polyp (polyp group, n=51). The groups were comparedin terms of complete blood count parameters, NLR and PLR. Additionally, the polyp group was further dividedinto two subgroups according to number of polyps, and the subgroups were compared with each other.Results: Mean platelet volume (MPV) was 8.6±0.98 fL and 8.31±0.89 fL in the control and polyp groups,respectively, and there was no statistically significant difference between the groups (p=0.13). Mean PLR valuewas 138.98±60.51 in control group, and 146.89±61.33 in polyp group (p=0.52). Mean NLR value was 2.45±1.45in control group, and 2.79±2.25 in polyp group (p=0.81). There was no statistically significant differencebetween the groups regarding complete blood count parameters, PLR and NLR values. However, according theresults of subgroup analysis, MPV was significantly higher in the group with two or more polyps compared tothe group with one polyp (p=0,035).Conclusion: In conclusion, it was determined that there was no significant relationship of endometrial polypwith complete blood count parameters, including NLR and PLR.

Anahtar Kelimeler:

Endometrial hastalıklar; Polipler; İnflamasyon; Ortalama trombosit hacmi

PDF

___

1. Hillard P. Benign Disease of the Female Reproductive Tract. In Berek JS ed. Berek & Novak’s Gynecology. Vol. 15. Philadelphia,: Lippincott Williams & Wilkins, 2012. p. 374-437.
2. Berek JS, Hillard P. Initial Assessment and Communication. In Berek JS ed. Berek & Novak’s Gynecology. Vol. 15. Philadelphia:, Lippincott Williams & Wilkins, 2012. p. 2-22
3. 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(2):90-94.
4. Ryan GL, Syrop CH, Van Voorhis BJ. Role, epidemiology, and natural history of benign uterine mass lesions. Clin Obstet Gynecol. 2005;48(2):312-24.
5. Karateke A, Kaplanoglu M, Baloglu A. Relations of Platelet Indices with Endometrial Hyperplasia and Endometrial Cancer. Asian Pac J Cancer Prev. 2015;16(12):4905-8.
6. Kurtoglu E, Kokcu A, Celik H, Sari S, Tosun M. Platelet Indices May be Useful in Discrimination of Benign and Malign Endometrial Lesions, and Early and Advanced Stage Endometrial Cancer. Asian Pac J Cancer Prev. 2015;16(13):5397-400.
7. Acmaz G, Aksoy H, Unal D, Ozyurt S, Cingillioglu B, Aksoy U, et al. Are neutrophil/lymphocyte and platelet/lymphocyte ratios associated with endometrial precancerous and cancerous lesions in patients with abnormal uterine bleeding? Asian Pac J Cancer Prev. 2014;15(4):1689-92.
8. Smith RA, Bosonnet L, Ghaneh P, Sutton R, Evans J, Healey P, et al. The platelet-lymphocyte ratio improves the predictive value of serum CA19-9 levels in determining patient selection for staging laparoscopy in suspected periampullary cancer. Surgery. 2008;143(5):658-66.
9. Zareifar S, Farahmand Far MR, Golfeshan F, Cohan N. Changes in platelet count and mean platelet volume during infectious and inflammatory disease and their correlation with ESR and CRP. J Clin Lab Anal. 2014;28(3):245-8.
10. Gasparyan AY, Ayvazyan L, Mikhailidis DP, Kitas GD. Mean platelet volume: a link between thrombosis and inflammation? Curr Pharm Des. 2011;17(1):47-58.