Assessment of Endometrial Sampling and Histopathological Results: Analysis of 4,247 Cases
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Tarih
2017
Dergi Başlığı
Dergi ISSN
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada kliniğimizde endometrial örnekleme yapılan olgularda endikasyonlar ile histopatolojik sonuçlar arasındaki ilişkinin araştırılması amaçlanmıştır.Gereç ve Yöntem: Kliniğimizde Ocak 2010 - Ekim 2016 yılları arasında başvuran ve obstetrik dışı jinekolojik endikasyonlar nedeni ile endometrial örnekleme yapılan 4,247 olgunun verileri Kadın Hastalıkları ve Doğum Kliniği ve Patoloji Kliniği arşiv kayıtlarından retrospektif olarak taranarak değerlendirildi. Bulgular: Olguların yaş ortalaması 46.8 ± 88,22 olup en sık endikasyon menometroraji-menoraji iken en az servikal polip idi. Endometriyal biyopsi sonucu proliferatif-sekretuar endometriyum en sık atipili basit hiperplazi en az histopatolojik sonuç olarak tespit edildi. Endometriyum kanseri postmenaposal kanama ya da endometriyal kalınlık grubunda daha fazla oranda gözlendi. Biyopsi yapılan olguların %52,18%'ne histerektomi ameliyatı yapılmıştı. Histerektomi sonucu proliferatif-sekretuar endometriyum en sık atipili basit hiperplazi en az histopatolojik sonuç olarak tespit edildi.Sonuç: Postmenapozal kanama ya da endometrial kalınlık artışı olan olgularda endometriyal değerlendirmeyi takiben örnekleme yapılması uygunken, çalışmamız sonuçlarına göre diğer endikasyonlarda rutin olarak endometrial biyopsi tercih edilmemelidir.
Objective: This study aimed to investigate the relationship between indications and histopathological results in patients undergoing endometrial sampling.Materials and Methods: Data of 4,247 patients undergoing endometrial sampling due to non-obstetric gynecological causes between January 2010 and October 2016 were retrospectively evaluated using the archives of the Gynecology and Obstetrics Clinic of Konya Training and Research Hospital.Results: The mean age of patients was 46.8 ± 8.22 years; the most common indication was menometrorrhagia/menorrhagia, and the least common indication was cervical polyp. The most common histopathological result was proliferative-secretory endometrium; simple hyperplasia with atypia was determined to be the least common result. Endometrial cancer was observed more frequently in the post-menopausal bleeding and increased endometrial thickness group. Of patients in whom biopsy was performed, had undergone hysterectomy, as a result of which proliferative–secretory endometrium was most commonly and simple hyperplasia with atypia least commonly found as the histopathological diagnosis.Conclusion: Although sampling should be performed following endometrial evaluation in patients with postmenopausal bleeding or increased endometrial thickness, according to the results of our study, routine endometrial biopsy should not be preferred in the other indications.
Objective: This study aimed to investigate the relationship between indications and histopathological results in patients undergoing endometrial sampling.Materials and Methods: Data of 4,247 patients undergoing endometrial sampling due to non-obstetric gynecological causes between January 2010 and October 2016 were retrospectively evaluated using the archives of the Gynecology and Obstetrics Clinic of Konya Training and Research Hospital.Results: The mean age of patients was 46.8 ± 8.22 years; the most common indication was menometrorrhagia/menorrhagia, and the least common indication was cervical polyp. The most common histopathological result was proliferative-secretory endometrium; simple hyperplasia with atypia was determined to be the least common result. Endometrial cancer was observed more frequently in the post-menopausal bleeding and increased endometrial thickness group. Of patients in whom biopsy was performed, had undergone hysterectomy, as a result of which proliferative–secretory endometrium was most commonly and simple hyperplasia with atypia least commonly found as the histopathological diagnosis.Conclusion: Although sampling should be performed following endometrial evaluation in patients with postmenopausal bleeding or increased endometrial thickness, according to the results of our study, routine endometrial biopsy should not be preferred in the other indications.
Açıklama
WOS:000399175500010
PubMed ID:28416932
PubMed ID:28416932
Anahtar Kelimeler
Endometrial sampling, Endometrial cancer, Hysterectomy, Histopathological examination, Endometriyal örnekleme, Endometriyum kanseri, Histerektomi, Histopatolojik inceleme
Kaynak
Eurasian Journal of Medicine
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
49
Sayı
1
Künye
Küçükkendirci, H., Öztürk, İ. Z., İnal, H. A., Küçükosmanoğlu, İ. (2017). Assessment of endometrial sampling and histopathological results: Analysis of 4,247 cases. The Eurasian Journal of Medicine, 49, 1, 44-47.
