SERVİKAL POLİPLERİN KLİNİK VE PATOLOJİK İNCELEMESİ VE YÖNETİMİ; TEK MERKEZ VERİSİ

Giriş: Sıklıkla stromal epitel ve fibromüsküler çekirdekten oluşan servikal polipler genellikle asemptomatik olup, servikal poliplerde primer malignite ihtimali oldukça düşüktür. Histopatolojisinde sıklıkla endometriyal orijinli olduğu saptanan servikal poliplerin eksizyonu açısından fikir birliği yoktur. Gereç ve Yöntem: Kliniğimizde yapılan 305 servikal polipektomi hastası retrospektif olarak demografik bilgileri, polip sayıları ve boyutları, hastane başvuru nedenleri, polipektomi işlemi öncesinde yapılan servikal smear incelemeleri ve polipektomi materyalinin histopatolojik tanısı tarandı. Tanımlayıcı istatistikler yapılarak kliniğimiz verileri özetlendi. Bulgular: Hastaların ortalama yaşları 49,9  8,84, en uzun polip boyutu 60 milimetre (mm) ve en büyük polip hacmi 31500 milimetreküp (mm3 ) olarak saptandı. En sık klinik başvuru asemptomatik iken, en sık başvuru semptomu intermenstural kanama idi. En sık ensodervikal histopatolojisi saptanırken, sadece iki hastada servikal adenokarsinom saptanmış olup iki hastanın servikal smear patolojileri de servikal adenokarsinom ile uyumlu idi. Sonuç: Servikal polipler sıklıkla asemptomatik olup malignite potansiyeli oldukça az olan lezyonlardır. Polipektomi öncesinde yapılan servikal smear incelemesi servikal polipin malignite potansiyeli hakkında bilgi verecektir. Ancak poliplerin saptandığı zaman polipektomi yapılaması başka patolojilerin ekartasyonu açısından uygun olacaktır.

CLINICAL AND PATHOLOGICAL INVESTIGATION AND MANAGEMENT OF CERVICAL POLYPLES; SINGLE CENTRAL DATA

Introduction: Cervical polyps are often asymptomatic and composed of stromal epithelium and fibromuscular nuclei. Primary malignancy of cervical polyps is very rare. Histopathological examination revealed that most of the cervical polyps originate from the endometrium and there is no consensus about existing cervical polyps in the literature. Material and Method: 305 cervical polypectomy patients performed in our clinic were retrospectively analysed for demographical information, polyp counts and sizes, reasons for hospital admission, cervical smear examinations performed before polypectomy and histopathological findings of polypectomy material. Descriptive statistics were used to summarize our clinic data. Results: The mean age of the patients was 49.9  8.84, the longest polyp size was 60 millimeters (mm), and the largest polyp volume was 31500 millimeters cubes (mm3). Majority of patients were asymptomatic, whereas the most common symptom was intermenstrual hemorrhage. Most common histopathologic findings were endocervical polyps. Cervical adenocarcinoma was detected only in two patients also cervical smear pathologies of these two patients were compatible with cervical adenocarcinoma. Conclusion: Cervical polyps are often asymptomatic and have fewer malignant potential lesions. Cervical smear which performed before the polypectomy will provide information about the potential for malignancy of the cervical polyps. However, when polyps are detected, polypectomy will be appropriate for the exclude of other pathologies.

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