Çiğdem KUNT İŞGÜDER, Hatice YILMAZ DOĞRU, Asker Zeki ÖZSOY, Bülent ÇAKMAK, İlhan Bahri DELİBAŞ, Akgül ARICI, Fazlı DEMİRTÜRK

Histerektomi Materyallerinde Histopatolojik Tanıların Değerlendirilmesi

Amaç: Bu çalışmanın amacı; benign endikasyonlarla yapılan histerektomilerin preoperatif klinik endikasyonlarının ve postoperatif histopatolojik tanılarının değerlendirilmesidir.

Anahtar Kelimeler:

Histerektomi, histerektomi endikasyonları, patoloji

The Evaluation Of Histopathological Diagnosis In Hysterectomy Materials

-The aim of this study is to assess the preoperative clinic indications and postoperative histopathological diagnosis of hysterectomies with benign indications.Materilas and Methods- Clinical features and reports of postoperative histopathological diagnosis of 170 patients, whose underwent hysterectomy with benign indications in Gaziosmanpasa University Medical Faculty Department of Obstetrics and Gynecology, were retrospectively evaluated.Results- The mean age of the patients was 50.48±7.50 (min-38, max-74). Leiomyoma with 77 case (E.3) was the most hysterectomy indicated disease. Thereafter, dysfunctional uterine bleeding in 50 ().49), and endometrial hyperplasia 22 (%12.9) were detected. The other clinical indications were uterine prolapse in 17 patients (%10), chronic pelvic pain in 2 (%1.2) and adenomyosis in 2 (%1.2). The results of histopathological reports belong to hysterectomy materials indicated that leiomyoma was the most common pathological finding with 87 cases (Q.2), subsequently adenomyosis in 35 cases (% 20.5) and endometrial hyperplasia in 31 (18.3) was detected. Endometrial polyp was found in 10 cases (%5.9) and atrophic endometrium in 7 cases (%4.1). Combined pathology was defined in 44 hysteterctomy materials. Leiomyoma and endometrial hyperplasia were detected as the most common combination with a ratio of P. In addition, chronic cervicitis was seen in d.7 of cervical examinations of hysterectomy materials. Conclusion- Adenomyosis should be kept in mind while planning the diagnosis and treatment of patients whose admitted with compliants of menometrorrhagia, seconder dysmenorrhea and chronic pelvic pain in 4th and 5th decade. Endometrial sampling caused by the co-existence of leiomyoma and endometrial hyperplasia must be necessary in hysterectomy planned cases for leiomyoma those already have menometrorrhagia-

Keywords:

hysterectomy, hysterectomy indications, pathology.,

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