Endometrıal Örneklem Sonuçlarımız: 1403 Olgunun İncelenmesi

Probe kuretaj endometrial hastalıkların tanısını koymada sık kullanılan bir yöntemdir. Çalışmamızın amacı kliniğimizde yapılan endometrial örneklem endikasyonlarını, olguların örneklem sonrası histopatolojik sonuçlarını, premenapozal ve postmenapozal olarak karşılaştırmaktır.Gereç ve Yöntemler: Ocak 2015-Ocak 2016 tarihleri arasında kliniğimizde yapılan endometrial örneklemler, hasta dosyaları retrospektif olarak incelenerek değerlendirildi. Hastalar premenapozal ve postmenapozal olarak iki gruba ayrıldı. Hastaların yaş aralıkları, başvuru nedenleri ve histopatolojik inceleme sonuçları istatistiksel olarak karşılaştırıldı.Bulgular: Premenapozal grupta 969 ( %69.1) hasta ve postmenapozal grupta 434 ( %30.9) hasta mevcuttu. Premenopozal grup yaş ortalaması 45.06 ± 3.4 yaş idi. Postmenopozal grupta yaş ortalaması 51.05 ± 8.6 yaş idi. Endometrial örnekleme yapılan hastaların ensık başvuru nedenleri, premenopozal grupta anormal uterin kanama %69.1, postmenopozal grupta ise %16 kontrol amacıyla gelip endometrial kalınlık tesbit edilenler idi.Sonuç: Anormal uterin kanama nedeniyle yapılan endometrial örneklemeler tanı ve tedavide yaygın olarak kullanılır. Özellikle postmenapozal dönemde endometrium kanserinde erken tanı için önemlidir. Premenapozal endometrial örnekleme endikasyonu koyarken seçici davranmalıdır.

Endometrial Sampling Results: Investigatıon of 1403 Cases

Probe curettage is a method commonly used in the diagnosis of endometrial disease. The aim of our work done in our clinic endometrial sampling indications, cases of the sample after the histopathological results, to compare the premenopausal and postmenopausal.Material and Methods: Between January 2015-January 2016 endometrial samples done in our clinic, patients were evaluated retrospectively analyzed. Patients were divided into two groups premenopausal and postmenopausal. The age range of the patients, the cause and histopathological results were compared statistically.Results: In 969 premenopausal group (69.1%) patients and in post-menopausal group, 434 (30.9%) patients were available. Premenopausal mean age was 45.06 ± 3.4 years. The average age was 51.05 ± 8.6 years in postmenopausal group. Endometrial sampling cause of otitis media visit commonly refer patients who, abnormal uterine bleeding in premenopausal women, 69.1%, and in postmenopausal women who were determined to come in order to control 16%of endometrial thickness.Conclusion: Abnormal uterine bleeding due to endometrial sampling performed widely used in diagnosis and treatment. In particular, it is important for early diagnosis in postmenopausal endometrial cancer. Premenopausal endometrial sampling should be selective when placing indication.

___

  • 1. Abdelazim IA, Abdelrazak KM, Elbiaa AA, Al-Kadi M, Yehia AH. Arch Gynecol Obstet. Accuracyof endometrial sampling compared to conventional dilatation and curettage in women with abnormal uterine bleeding. 2015;291(5):1121-6. doi: 10.1007/s00404-014-3523-y. Epub 2014Nov4.
  • 2. Vaidya S, Lakhey M, Vaidya S, Sharma PK, Hirachand S, Lama S, KC S Histopathological pattern of abnormal uterine bleeding in endometrial biopsies. Nepal Med Coll J. 2013 Mar;15(1):74-7.
  • 3. Singh S, Best C, Dunn S, Leyland N, Wolfman WL. Abnormaluterinebleeding in pre-menopausalwomen. J Obstet Gynaecol Can. 2013;35(5):473-9.
  • 4. Cho HJ, Lee ES, Lee JY, Hong SN, Ji YI. Investigations for Postmenopausal Uterine Bleeding: Special considerations for Endometrial Volume. Archives of Iranian Medicine. 2013;16(11):665-70
  • 5. Paula J. Adams Hillard. Kadın Üreme Organları Bening Hastalıkları: semptom ve bulgular. In the Novak Jinekoloji(Jonathans-Berek, ed) Nobel tıp kitabevleri, 2004:351-420.
  • 6. Brill A. What is the role of hysterescopy in the management of abnormal uterine bleeding? Clin Obstet Gynecol 1995;38:319-45
  • 7. Tuncer R, Uygur R, Kış S. Ankara Zübeyde Hanım Doğumevi 2000 yılı endometrial biopsi sonuçları: 676 olgunun analizi. MN Klinik Bilimler&Doktor 2003;9:97-9
  • 8. Saatli B, Yildirim N, Olgan S, Koyuncuoglu M, Emekci O, Saygılı U. The role of endometrial thickness for detecting endometrial pathologies in asymptomatic postmenopausal women. Aust N Z J ObstetGynaecol. 2014;54(1):36-40. doi: 10.1111/ajo.12174
  • 9. Gredmark T, Kvint S, Havel G, Mattsson LA. Histopathological findings in women with postmenopausal bleeding. BJOG: An International Journal of Obstetrics Gynecology. 1995;102(2): 133-6
  • 10. Goldstein SR, Nachtigall M, Snyder JR. Endometrial assesment by vaginal ultrasonography before endometrial sampling in patients with postmenopausal bleeding. American Journal of Obstetrics and Gynecology. 1990;163(1):119-23
  • 11. Anastasiadis PG, Koutlaki NG, Skaphida PG, Galazios GC, Tsikouras PN, Liberis VA. Endometrial polyps: prevalence, detection and malignant potential in women with abnormal uterine bleeding. European Journal of Gynaecological Oncology 2000;21 (2):180-3.
  • 12. Carauleanu A, Lupaşcu IA, Carauleanu DM, Socolov R, Socolov D. Clinico-epidemiological study of endometrialhyperplasia--a risk factorforthedevelopment of endometrialcarcinoma? Rev Med Chir Soc Med Nat Iasi. 2015 JanMar;119(1):154-61.
  • 13. Elisabeth E, Anette R, Lennart S, Valentin L. Dilatation and curettage fails to detect most focal lesions in the uterine cavity in women with postmenopausal bleeding. Acta Obstetrica et Gynecologica Scandinavia. 2001;80(12):1131-6
  • 14. Goldstein RB, Bree RL, Benson CB, Benacerraf BR, Bloss JD et al. Evaluation of the women with postmenopausal bleeding: Society of Radiologist in Ultrasound-SponsoredConsensus Conference statement. 24-25 October 2000, Washington, DC, preceding the annual Society of Radiologist in ultrasound Advances in Sonography conference.
  • 15. Madhra M, Fraser IS, Munro MG, Critchley HO. Abnormal uterine bleeding: advantages of formal classification to patients, clinicians and researchers. Acta Obstet Gynecol Scand. 2014;93(7):619-25. doi: 10.1111/aogs.12390
Zeynep Kamil Tıp Bülteni-Cover
  • ISSN: 1300-7971
  • Yayın Aralığı: 4
  • Başlangıç: 1969
  • Yayıncı: Ali Cangül