Myoma uterili olgularda histerektomi öncesi D&C ve histerektomi sonrası patoloji sonuçlarının karşılaştırması
Küçük Resim Yok
Tarih
2004
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Afyonkarahisar Sağlık Bilimleri Üniversitesi
Erişim Hakkı
CC0 1.0 Universal
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Amaç: Myoma uteri nedeniyle histerektomi planlanan olgularda yapılan prehisterektomi küretajın değerinin belirlenmesi. Gereç ve Yöntem: Çalışmada retrospektif olarak Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi Jinekoloji Servisinde myoma uteri nedeniyle histerektomi yapılan 140 olgunun prehisterektomi küretaj ve postoperatif histerektomi materyallerinin patoloji sonuçları karşılaştırıldı. Bulgular: Prehisterektomi küretaj sonuçları benign saptanan 94 olgudan 1 (%1.06) tanesinde histerektomi sonrası hiperplazi bulundu. Prehisterektomi küretajda hiperplazi bulunan 10 olgudan 1 (%10) tanesinde histerektomi sonrası iyi diferansiye endometriyal adenokarsinoma saptanırken, 7 tanesinde (%70) benign bulgular saptandı. Prehisterektomi küretajda myoma uteri ve endometriyal hiperplazi birlikteliği %7.1 (10/140) iken, histerektomi materyalinde myoma uteri ve endometriyal karsinoma birlikteliği %0.7 (1/140) idi. Ayrıca myoma uteri ön tanısı almış olan 140 olgunun 10 tanesinde (%7.1) postoperatif olarak sadece adenomiyozis bulundu. Sonuç: Myoma uteri nedeniyle histerektomi planlanan hastalarda prehisterektomi küretajın rutin olarak yapılmasının tartışılır olduğunu düşünmekteyiz. Ayrıca klinik olarak adenomiyozisin de myoma uteri ile karışabileceği hatırlanmalıdır.
Objective: To study the value of prehysterectomy curretage in women referred on the suggestion of uterine fibroids. Materials and Method: 140 cases who had been performed hysterectomy for fibroids in Zeynep Kamil Women and Children Hospital Gynecology Clinic were assessed retrospectively. Results of prehysterectomy D&C and hysterectomy specimens had been obtained from their medical records were analysed. Results: In 1 of 94 (1.06%) benign prehysterectomy curretage results had been found hyperplasia in postoperative specimens. In 1 of 10 (10%) hyperplasia in prehysterectomy curretage had been detected as welldifferentiated endometriyal adenocarcinoma while in 7 of 10 (70%) had been detected benign. Coexistence of myoma uteri and endometriyal hyperplasia in prehysterectomy curretage had been detected 7.1% while coexistence of myoma uteri and endometriyal carcinoma in postoperative specimens had been 0.7%. In addition, in10 of 140 (7.1%) cases with fibroid diagnosis had been found only adenomyosis, postoperatively. Conclusion: Routine prehysterectomy D&C is not worthwhile in women with myoma uteri. It is also remembered that adenomyosis could be confounded with fibroids clinically.
Objective: To study the value of prehysterectomy curretage in women referred on the suggestion of uterine fibroids. Materials and Method: 140 cases who had been performed hysterectomy for fibroids in Zeynep Kamil Women and Children Hospital Gynecology Clinic were assessed retrospectively. Results of prehysterectomy D&C and hysterectomy specimens had been obtained from their medical records were analysed. Results: In 1 of 94 (1.06%) benign prehysterectomy curretage results had been found hyperplasia in postoperative specimens. In 1 of 10 (10%) hyperplasia in prehysterectomy curretage had been detected as welldifferentiated endometriyal adenocarcinoma while in 7 of 10 (70%) had been detected benign. Coexistence of myoma uteri and endometriyal hyperplasia in prehysterectomy curretage had been detected 7.1% while coexistence of myoma uteri and endometriyal carcinoma in postoperative specimens had been 0.7%. In addition, in10 of 140 (7.1%) cases with fibroid diagnosis had been found only adenomyosis, postoperatively. Conclusion: Routine prehysterectomy D&C is not worthwhile in women with myoma uteri. It is also remembered that adenomyosis could be confounded with fibroids clinically.
Açıklama
Anahtar Kelimeler
Histerektomi, D&C, Adenomiyozis, Hysterectomy, D&C, Adenomyosis
Kaynak
Kocatepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
5
Sayı
2
Künye
İnal, Ş., Çaylarbaşı, B., Haliloğlu, B., Kır Şahin, B. ve Oral, Ö. (2004). Myoma uterili olgularda histerektomi öncesi D&C ve histerektomi sonrası patoloji sonuçlarının karşılaştırması / Comparing prehysterectomy D&C and posthysterectomy pathology results in women with myoma uteri. Kocatepe Tıp Dergisi. 5(2), s. 55-58.
