Öz
Aim. The purpose of this study is to investigate whether preoperative endometrial sampling is necessary for hysterectomies with benign indications. Material and Methods. Sixty-eight cases which had hysterectomy for benign indications at Celal Bayar University Department of Obstetrics and Gynecology between 2005 and 2008 were investigated retrospectively. All subjects had had D&C before the surgery. Data about age of subjects, hysterectomy indications, endometrial sampling results and endometrial findings of hysterectomy materials were collected from patient files and pathology reports. Preoperative and postoperative endometrial pathology results were compared. Results. The mean age of the patients was 47 (±8.0). Hysterectomy indications were myoma uteri in 50 cases, resistant bleeding in 12 cases, adnexial mass in 5 cases and retention of intrauterin device in 1 case. Preoperative endometrial samplings resulted in normal endometrium, proliferative endometrium, secretory endometrium, endometrial hyperplasia, endometrial polyp, chronic endometritis and insufficient material, none of the results was endometrial cancer. Postoperative pathologies of the endometrium were proliferative endometrium, secretory endometrium, endometrial hyperplasia, inactive endometrium, atrophic andometrium, basal endometrium, endometrial polyp and other diagnosis. Discussion: Preoperative endometrial sampling is not necessary for cases planned to undergo hysterectomy for benign indications.
Anahtar Kelimeler
Kaynakça
- Jacobson GF, Shaber RE, Armstrong MA, Hung YY. Hysterectomy rates for benign indications. Obstet Gynecol 2006; 107: 1278-83.
- National Center for Health Statistics. National Hospital Discharge Survey, 1997. www.cdc.gov/nchs/data/ad/ad371.pdf (26.10.2010).
- Stovall TG, Solomon SK, Ling FW. Endometrial sampling prior to hysterectomy. Obstet Gynecol 1989; 73: 405-9.
- Önder Çelik, Feza Burak, Ruşen Atmaca, Şeyma Hasçalık, Ayşe Kafkaslı. Uterin Fibromyomalı Kadınlarda Histerektomi Öncesi Endometrial Küretaj Gerekli Mi? Türkiye Klinikleri Jinekoloji-Obstetrik Dergisi 2001; 11: 365-8
- Şebnem İnal, Banu Çaylarbaşı, Berna Haliloğlu, Figen Kır Şahin, Özay Oral. Myoma Uterili Olgularda Histerektomi Öncesi D&C Ve Histerektomi Sonrası Patoloji Sonuçlarının Karşılaştırması. Kocatepe Tıp Dergisi 2004; 5: 55-8
- Gull B, Karlsson B, Milsom I, Granberg S. Can ultrasound replace dilation and curettage? A longitudinal evaluation of postmenopausal bleeding and transvaginal sonographic measurement of the endometrium as predictors of endometrial cancer. Am J Obstet Gynecol 2003; 188: 401-8.
- Moschos E, Ashfaq R, McIntire DD, Liriano B, Twickler DM. Saline-infusion sonography endometrial sampling compared with endometrial biopsy in diagnosing endometrial pathology. Obstet Gynecol 2009; 113: 881-7.
Öz
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Anahtar Kelimeler
Kaynakça
- Jacobson GF, Shaber RE, Armstrong MA, Hung YY. Hysterectomy rates for benign indications. Obstet Gynecol 2006; 107: 1278-83.
- National Center for Health Statistics. National Hospital Discharge Survey, 1997. www.cdc.gov/nchs/data/ad/ad371.pdf (26.10.2010).
- Stovall TG, Solomon SK, Ling FW. Endometrial sampling prior to hysterectomy. Obstet Gynecol 1989; 73: 405-9.
- Önder Çelik, Feza Burak, Ruşen Atmaca, Şeyma Hasçalık, Ayşe Kafkaslı. Uterin Fibromyomalı Kadınlarda Histerektomi Öncesi Endometrial Küretaj Gerekli Mi? Türkiye Klinikleri Jinekoloji-Obstetrik Dergisi 2001; 11: 365-8
- Şebnem İnal, Banu Çaylarbaşı, Berna Haliloğlu, Figen Kır Şahin, Özay Oral. Myoma Uterili Olgularda Histerektomi Öncesi D&C Ve Histerektomi Sonrası Patoloji Sonuçlarının Karşılaştırması. Kocatepe Tıp Dergisi 2004; 5: 55-8
- Gull B, Karlsson B, Milsom I, Granberg S. Can ultrasound replace dilation and curettage? A longitudinal evaluation of postmenopausal bleeding and transvaginal sonographic measurement of the endometrium as predictors of endometrial cancer. Am J Obstet Gynecol 2003; 188: 401-8.
- Moschos E, Ashfaq R, McIntire DD, Liriano B, Twickler DM. Saline-infusion sonography endometrial sampling compared with endometrial biopsy in diagnosing endometrial pathology. Obstet Gynecol 2009; 113: 881-7.
Öz
Abstract
Aim. The purpose of this study is to investigate the necessity of preoperative endometrial sampling for hysterectomies with benign indications. Methods. Sixty-eight cases that had hysterectomy for benign indications at Celal Bayar University Department of Obstetrics and Gynecology between 2005 and 2008 were investigated retrospectively. All subjects had undergone dilatation and curettage ( D&C) under surface anesthesia before the surgery. Data about age of subjects, hysterectomy indications, endometrial sampling results and endometrial pathology findings of hysterectomy materials were collected from patient files and pathology reports. Preoperative and postoperative endometrial pathology results were compared. Results. The mean age of the patients was 47 (±8.0). Hysterectomy indications were myoma uteri in 50 cases, resistant bleeding in 12 cases, adnexal mass in 5 cases and retention of intrauterine device in 1 case. Preoperative endometrial samplings revealed proliferative endometrium, secretory endometrium, endometrial hyperplasia, endometrial polyp, chronic endometritis and insufficient material, but not endometrial cancer. Postoperative pathologies of the endometrium were proliferative endometrium, secretory endometrium, endometrial hyperplasia, inactive endometrium, atrophic endometrium, basal endometrium and endometrial polyp. Conclusion. Preoperative endometrial sampling is not necessary for cases planned to undergo hysterectomy for benign indications.
Key words: Hysterectomy, endometrial sampling, preoperative
Özet
Amaç. Bu çalışmanın amacı benign nedenlerle histerektomi planlanan olgularda operasyon öncesi endometriyal örneklemenin gerekliliğini değerlendirmektir. Yöntem. 2005-2008 yılları arasında Celal Bayar Üniversitesi Kadın Hastalıkları ve Doğum Anabilim Dalı'nda benign nedenle histerektomi yapılan 68 olgu retrospektif olarak incelendi. Olguların hepsine operasyon öncesi yüzeyel anestezi ile dilatasyon ve küretaj (D&C) uygulanmıştı. Olguların yaşları, histerektomi endikasyonları, endometriyal örnekleme sonuçları ile histerektomi materyalindeki endometriyum bulguları verileri hasta dosyaları ve patoloji raporlarından elde edildi. Preoperatif ve postoperatif endometriyum bulguları karşılaştırıldı. Bulgular. Olguların yaş ortalamaları 47 (±8.0), histerektomi endikasyonları 50 olguda myoma uteri, 12 olguda tedaviye dirençli kanama, 5 olguda adneksiyel kitle ve 1 olguda rahim içi araç retansiyonu idi. Preoperatif endometriyal örnekleme bulguları proliferatif endometrium, sekretuar endometrium, endometrial hiperplazi, endometrial polip, kronik endometrit ve yetersiz materyal şeklinde olup endometriyal kanser saptanmadı. Postoperatif endometriyal bulgular proliferatif endometrium, sekretuar endometrium, endometriyal hiperplazi, inaktif endometrium, atrofik endometrium, bazal endometrium ve endometriyal polip şeklinde idi. Sonuç. Bu çalışmada benign nedenlerle histerektomi planlanan olgularda operasyon öncesi endometriumun örneklenmesinin gerekli olmadığı görülmüştür.
Anahtar sözcükler: Histerektomi, endometriyal örnekleme, preoperative
Anahtar Kelimeler
Kaynakça
- Jacobson GF, Shaber RE, Armstrong MA, Hung YY. Hysterectomy rates for benign indications. Obstet Gynecol 2006; 107: 1278-83.
- National Center for Health Statistics. National Hospital Discharge Survey, 1997. www.cdc.gov/nchs/data/ad/ad371.pdf (26.10.2010).
- Stovall TG, Solomon SK, Ling FW. Endometrial sampling prior to hysterectomy. Obstet Gynecol 1989; 73: 405-9.
- Önder Çelik, Feza Burak, Ruşen Atmaca, Şeyma Hasçalık, Ayşe Kafkaslı. Uterin Fibromyomalı Kadınlarda Histerektomi Öncesi Endometrial Küretaj Gerekli Mi? Türkiye Klinikleri Jinekoloji-Obstetrik Dergisi 2001; 11: 365-8
- Şebnem İnal, Banu Çaylarbaşı, Berna Haliloğlu, Figen Kır Şahin, Özay Oral. Myoma Uterili Olgularda Histerektomi Öncesi D&C Ve Histerektomi Sonrası Patoloji Sonuçlarının Karşılaştırması. Kocatepe Tıp Dergisi 2004; 5: 55-8
- Gull B, Karlsson B, Milsom I, Granberg S. Can ultrasound replace dilation and curettage? A longitudinal evaluation of postmenopausal bleeding and transvaginal sonographic measurement of the endometrium as predictors of endometrial cancer. Am J Obstet Gynecol 2003; 188: 401-8.
- Moschos E, Ashfaq R, McIntire DD, Liriano B, Twickler DM. Saline-infusion sonography endometrial sampling compared with endometrial biopsy in diagnosing endometrial pathology. Obstet Gynecol 2009; 113: 881-7.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Cerrahi Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Mayıs 2010 |
| Yayımlandığı Sayı | Yıl 2010Cilt: 32 Sayı: 4 |