Ö. DEMİRTAŞ, Ö. YENİEL, M. ERGENOĞLU, G DEMİRTAŞ, N. ASKAR

Klinik olarak endometrial polip tanısı alan olguların retrospektif analizi

Amaç: Klinik olarak endometrial polip (EP) ön tanısı ile yatırılan ve histeroskopi (H/S) veya dilatasyon küretaj (D/K) gibi tanısal yöntemlerle polip varlığı histopatolojik olarak konfirme edilen ve edilemeyen olguların, epidemiyolojik kriterler, klinik ve laboratuvar veriler açısından karşılaştırılması amaçlandı. Gereç ve Yöntem: Çalışmamızda, 20072009 yılları arasında transvajinal ultrasonografi (TVUSG) ile değerlendirme sonucu ya da klinik şüphe ile EP ön tanısı konulan ve endometrial örnekleme yapılmış olan 130 olgu retrospektif olarak değerlendirildi. Hastalar histopatolojik olarak, EP tanısı alan (Grup 1) ve almayan (Grup 2) olarak iki gruba ayrıldı. Çalışmaya dahil edilen hastaların kayıtları, klinik ve laboratuar verileri ve epidemiyolojik kriterleri retrospektif olarak tarandı. Endometrial örnekleme sonucunda EP tespit edilen ve edilmeyen hastalar epidemiyolojik kriterler, klinik ve laboratuar veriler ve eşlik eden histopatolojik bulguları açısından kıyaslandı. Bulgular: 130 hastadan 95 (%70,9)inde histopatolojik olarak EP saptandı. Hastaların ortalama yaşları 46,59±11,83 (min-max: 24-87) idi. Her iki grupta hastaların en sık semptomu anormal vajinal kanama [Grup1 ve Grup 2 için sırasıyla 54 (%56,8) ve 25 (%71,4)] olarak tespit edildi. Histopatolojik olarak polip saptanan grupta yer alan hastalar ile polip saptanmayan gruptaki hastalar arasında yaş, başvuru şikayeti, ek hastalık, menopozal durum, doğum sayısı ve şekli açısından anlamlı bir farklılık saptanmadı. Sonuç: Polip tanısı alan ve almayan gruplar arasında epidemiyolojik özellikler, klinik ve laboratuar sonuçlar açısından anlamlı fark saptanmadı.

Retrospective analysis of subjects with a clinical diagnosis of endometrial polyposis

Aim: Comparing the subjects who were hospitalized with a clinical diagnosis of endometrial polyposis (EP) and whose polyps were confirmed and not confirmed histopathologically through diagnostic methods such as hysteroscopy or dilation / curettage in terms of epidemiological criteria and clinical and laboratory data were aimed. Materials and Methods: In the present study, 130 subjects were evaluated retrospectively who had received a diagnosis of EP following transvaginal ultrasound examination (TVUSG) or via clinical suspicion and underwent endometrial sampling. Histopathologically, the patients were divided into two groups, those with (Group 1) and without (Group 2) a diagnosis of EP. Gynecological examination records of the subjects included in the study, clinical and laboratory data and epidemiological criteria were reviewed retrospectively. The subjects in whom EP was found and not found following endometrial sampling were compared in terms of epidemiological criteria, clinical and laboratory data and associated histopathological findings. Results: EP was found histopathologically in 95 (70.9%) of 130 patients. The mean age of the subjects was 46.59 ± 11.83 years (range: 24 to 87 years). The most common symptom was vaginal bleeding for both groups [n = 54 (56.8%) and n= 25 (71.4%), for Groups 1 and 2, respectively]. No significant difference was found between the groups with and without polyps found histopathologically in terms of age, reason for presentation, additional conditions, menopausal status, and number and mode of deliveries. Conclusion: No significant difference was found between the groups with and without diagnosis of an endometrial polyp in terms of epidemiological criteria, and clinical and laboratory findings.

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