Akif ALKAN, Semih TUĞRUL, Gazi YILDIRIM, Deniz KÖSE, Pınar ÇİLESİZ, Sadiye EREN

Vulvar kitleler; Hastanemizdeki vulvar kitleli olguların güncel literatür ışığında retrospektif analizi

Amaç: Vulvar kitleli olgularımızı literatür eşliğinde değerlendirerek vulvar kitleli olgulara yaklaşımı belirlemek Materyal ve Metod: Ocak 1999 - Ocak 2003 tarihleri arasında vulvar kitle ön tanısı ile hastanemize yatan vakaların retrospektif taranması ile toplam 201 vaka seçildi. Toplam 189 vaka çalışmaya alındı. Histopatolojik tanısı kesinleşenlerin yanında, klinik tecrübe ve müdahale sonucunda Bartolin kisti veya absesi tanısı konulmuş ve dosyalarında tanıları sonradan değişmemiş 126 vaka Bartolin Kisti/Absesi grubuna dahil edildi. Histopatolojik tanısı bartholin kisti/absesi dışında gelenler ve dosyalarında belirtilen tanılan bartolin ile ilgili olmayan 63 vaka Diğer Vulvar Kitleler grubuna dahil edildi. Bulgular: Bartolin Kisti/Absesi grubundan 5 vakaya (%4) medikal, 66 vakaya (%52.4) cerrahi tedavi uygulandı. Aynı grupta hem cerrahi, hem de medikal tedavi alan vakaların sayısı 55 (%43.6) idi. Diğer vulvar kitleler tanısı almış gruptakilerin ise %79 (49) una sadece cerrahi tedavi uygulandı. Medikal ve medikal + cerrahi ise bu gruptakilerin ancak %21 ine uygulandı (p

Anahtar Kelimeler:

Geriyedönük çalışma, Bartholin bezleri, Kistler, Vulva hastalıkları

Vulvar masses: A retrospective analysis of the patient with vulvar masses in our hospital by the references of current literature

Objective: To determine the management of the patients with vulvar masses in our hospital by the references of current literature. Materials and Methods: Two hundred and one patients who were admitted to our hospital between January 1999 and January 2003, with the diagnosis of vulvar mass, were selected retrospectively. One hundred and eighty nine patients were evaluated. One hundred and twenty six cases were grouped as Bartholin Cyst/Abcess according to definitive histopathological diagnosis and clinical experiences. Sixty three patients that not naming Bartholin Cyst/Abcess were classified as Other Vulvar Masses. Results: Medical (n=5, 4%) and surgical (n=66, 52.4%) treatment was performed for the cases of Bartholin Cyst/Abcess group. The both treatment modalities was applied fifty five (43.6%) patients of first group. The surgical procedure was applied 77% (49) of patient with vulvar masses other than bartholin cyst and abcess. Medical and both of medical and surgical therapy were applied 21% cases of second group (p

Keywords:

Retrospective Studies, Bartholin's Glands, Cysts, Vulvar Diseases,

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