Ceyhun NUMANOĞLU, Altuncu Nevin NUMANOĞLU, İbrahim POLAT, Ahmet GÜL, Onur EROL, Ahmet GÜLKILIK

Postmenopozal smearlerin servikal intraepiteliyal neoplazi yönünden değerlendirilmesi

Amaç: Bölgemizdeki postmenopozal kadınlardaki CİNprevelansını göstermek amacıyla bir çalışma düzenledik. Materyal ve Metod: 1997 ve 2000 yıllan arasında menopoz polikliniğine HRT almak üzere başvuran 12783 hastapatoloji kayıtları incelenerek retrospektif olarak değerlendirilmiştir. Bulgular: 349 hastada anormal smear sonucu saptanmış olup bunların 265'i (%75.8) CİNİ, 4O'ı (%11.4) CİN II, 6 tanesi CİN III ( %2 ), 2 tanesi karsinoma insitu (% 0.6) ve 36 tanesi koilositozisdir (% 10.2 ) Bu yaş grubunda anormal servikal sitoloji genel prevelansı ise yaklaşık olarak %3 olarak belirlenmiştir. Sonuç: Postmenopozal dönemde erken dönem servikal intraepiteliyal lezyonlarm hiç de azımsanmayacak boyutlarda olması nedeniyle asemptomatik de olsa postmenopozal hastaların transformasyon zonu açısından değerlendirilmesi gerekliliği oldukça açıktır.

Anahtar Kelimeler:

Postmenopoz, Vajinal smirler, Servikal intraepitelyal neoplazi, Geriyedönük çalışma

Evaluation of postmenopausal smears with regard to cervical intraepithelial neoplasia

Objective: To investigate the prevelance of CIN in postmenopausal women in our region. Material and Methods: Between 1997 and 2000 years, 12783 women who applied Menopause Clinic for taking hormone replacement therapy with or without complaints were retrospectively evaluated. Results: Of the 349 cases with abnormal smear findings, 265 were CIN I (%75.8 ), 40 were CIN II (%11.4 ), 6 were CIN III (%2), 2 were carsinoma insituf %0.6 )and 36 were koilocytosis (%10.2 ). General prevelance of abnormal cervical findings in this age group was determined aproximately % 3. Conclusios: Although in women of postmenopausal age early stage servical intraepithelial lesions is seen not rare, it is clearly that they must be evaluated for transformation zone even if they are asymptomatic.

Keywords:

Postmenopause, Vaginal Smears, Cervical Intraepithelial Neoplasia, Retrospective Studies,

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