Hatice KANSU ÇELİK, Salim ERKAYA, Özlem EVLİYAOĞLU, Mehmet KEÇECİOĞLU, Burcu KISA KARAKAYA, Esma SARIKAYA

Benign Vajinal Kistlerin Retrospektif Analizi

Amaç: Vajinal kistler genellikle jinekolojik muayene esnasında insidental olarak saptanan, genellikle konjenital kökenli ve asemptomatik oluşumlardır. Biz bu çalışmamızda vajinal kistlerin demografik, klinik ve patolojik özelliklerini ortaya koymayı amaçladık.Yöntem: Çalışmaya Kasım 2010-Haziran 2015 tarihleri arasında Zekai Tahir Burak Kadın Sağlığı Eğitim Araştırma Hastanesi jinekoloji polikliniğine başvuran ve jinekoloji servisinde vajinal kist tanısı ile opere olan hastalar dahil edildi. Bartolin bezi kistleri ve subüretral kistler çalışma dışı bırakıldı. Hastaların yaş, semptomları, kistlerin boyutu, lokalizasyonu ve nihai patoloji sonuçları retrospektif olarak yatış dosyalarından incelendi.Bulgular: Otuz beş hastada benign vajinal kist saptandı. Hastaların ortalama yaşı 45,74±9,04’dü. Hastaların % 65’i n=23 asemptomatikti. Kistlerin ortalama çapı 3,88±1,71 cm idi. Lezyonların %62,85’i n=22 lateral ve %28’i n=10 anterior duvarda lokalize idi. En sık karşılaşılan tipler Müllerian kistler %40, n=14 ve skuamoz inklüzyon kistleri %31,42, n=11 idi. Bir hastada patoloji sonucu kist hidatik olarak raporlandı.Sonuç: Asemptomatik ve çoğunlukla insidental olarak karşımıza çıkan vajinal kistler sıklıkla vajenin lateral ve anterior duvarından kaynaklanmaktadır. En sık histopatolojik tanıyı müllerian kistler ve inklüzyon kistleri oluşturur. Kistlerin total eksizyonu küratif tedavidir.

Anahtar Kelimeler:

Vajinal kist, müllerian kist, inklüzyon kisti, kist hidatik

Retrospective Analysis Of Benign Vaginal Cysts

Objective: Vaginal cysts are usually detected incidentally during a pelvic exam, and are of asymptomatic congenital origin and formation. In this study, we aimed at putting forth demographical, clinical and pathological characteristics of vaginal cysts for consideration.Methods: This study included the patients who applied at Gynecology Clinic of Zekai Tahir Burak Women’s Health Education & Research Hospital between November 2010 and June 2015, who were diagnosed with vaginal cyst and underwent surgery. Bartholin’s gland cyst and suburethral cyst were excluded from the study. Age, symptoms, size of the cysts, localization and final pathology results were analyzed retrospectively from files of hospitalization.Findings: Thirty-five patients revealed benign vaginal cysts. Average age of the patients was 45.74±9.04. 65% of patients n =23 were asymptomatic. The average diameter of cysts was 3.88±1.71cm. 62.85% of the lesions n = 22 was localized laterally and 28% n = 10 was localized in the anterior wall. The most common types encountered were Mullerian cysts 40%,n = 14 and squamous inclusion cysts 31.42%, n = 11 , respectively. A patient’s pathology result was hydatid cyst.Conclusion: Vaginal cysts which are encountered asymptomatic and often incidentally, stem from the lateral and anterior walls of the vagina. The most common histopathologic diagnoses are Mullerian cysts and inclusion cysts. Excision of the cysts is the curative therapy.

Keywords:

Vaginal cysts, mullerian cyst, inclusion cyst, hydatid cyst,

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