Yusuf Aytaç TOHMA, Yetkin KARASU, Eser ÇOLAK, Özlem ÖZDEĞİRMENCİ EVLİYAOĞLU, Berna DİLBAZ

Adolesanlarda Adneksiyel Kitleler: 76 Hastanın Analizi

Amaç: Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi İnfertilite Kliniğinde adneksiyel kitle nedeniyle yatan ve cerrahi tedavi edilen adolesanların tanılarını ve uygulanan cerrahi tedavileri özetlemektir.Gereçler ve Yöntem: Bu çalışmada 2008-2010 yılları arasında Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi İnfertilite Kliniği’nde adneksiyel kitle nedeniyle yatan ve cerrahi tedavi edilen adolesan hastalar retrospektif olarak incelenmiştir. Hastaların yaşları, yatış tanıları, uygulanan cerrahi tedavi yöntemleri ve postoperatif histopatolojik tanıları kaydedilmiştir.Bulgular: Kliniğimize 2008-2010 yılları arasında 76 adolesan adneksiyel kitle nedeniyle yatırılarak cerrahi tedavi edilmiştir.Hastaların %78.9’unda uygulanan cerrahi operatif laparoskopi Op L/S ve hastaların %47.4’ünde uygulanan tedavi kistektomidir. Yapılan cerrahi operasyonlar sonucunda hastanemiz datası incelendiğinde en sık tanı fonksiyonel kist % 24 olarak saptanmıştır ve bunu endometrioma %17 ve seroz kistadenom %12 takip etmektedir. Sonuç: Adolesan hasta grubunda jinekolojik kaynaklı adneksiyel kitleler sıklıkla benign fonksiyonel kistlerdir. Bu hastalarda malign patolojiler nadir olduğundan over koruyucu cerrahi tedaviler fertilitenin ve cinsel fonksiyonların korunmasını sağlayacağından önemlidir.

Anahtar Kelimeler:

Adneksiyel kitleler, adölesan

Adnexial Masses in Adolescents : Analysis of 76 Patients

Aim: To summarize diagnoses and surgical treatments retrospectively that are applied to adolescent patient group who were hospitalized in Etlik Zübeyde Hanım obstetrics and gynecology hospital infertility clinics with adnexial mass. Material and Methods: This study summarizes diagnoses and surgical treatments retrospectively that are applied to adolescent patient group who were hospitalized in Etlik Zübeyde Hanım Obstetrics and Gynecology Hospital Infertiliy Clinics with adnexial mass between 2008 and 2010. The age, diagnosis of hospitalization, surgical treatment methods and post-operative histopathological diagnosis of the patients were recorded. Results: Between 2008 and 2010, 76 adolescents with adnexial mass were hospitalized and surgically treated in our clinic. Surgical intervention in 78.9% of the patient was operative laparoscopy Op L/S and 47.4% of the patients were treated with cystectomy. The most common diagnosis is functional ovarian cysts are 24% of the total in our study group and endometrioma %17 and serous cystadenoma are followed. Conclusions: Gynecological adnexial masses in adolescent patient group are generally benign functional cysts. It is important to use minimally invasive and conservative surgical techniques for the adnexial masses in this patient group to preserve fertility and sexual functions.

Keywords:

Adnexial masses, adolescent,

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