Comparison of pre-operative inflammation parameters of adenomyosis and leiomyoma patients after hysterectomy

Year 2019, Volume: 11 Issue: 4, 555 - 560, 01.12.2019

Funda Erdoğan Cemile Dayangan Sayan , Mahmut İlkin Yeral , Zehra Sema Özkan , Nevin Sağsöz

https://doi.org/10.21601/ortadogutipdergisi.449994

Abstract

Aim: The purpose of the research is evaluation of pre-operative white blood cell, neutrophil, lymphocyte, platelet, neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, platelet distribution width, mean platelet volume and plateletcrit values of patients who diagnosed with adenomyosis or leiomyoma histopathologically.
Material and Method: The research group consist of 640 patients. For gathering data, we review the patients’ files retrospectively and we use patients’ complete blood count (CBC) results.
Results: The mean age of the patients are 54.89±5.11 years. 61.40% (n=393) of them are diagnosed with leiomyoma and 38.60% (n=247) of them are diagnosed with adenomyosis histopathologically. There was no difference between the groups in terms of white cell and platelet count, platelet distribution width, platelet crit, platelet / lymphocyte ratios, and neutrophil / lymphocyte ratios. Mean platelet volume and neutrophil counts in the leiomyoma group were significantly higher than in the adenomyosis group.
Conclusions: The mean platelet volume and neutrophilia percentage values are promising as an adjunctive method in differential diagnosis of leiomyoma and adenomyosis diseases, but these findings should be supported by prospective controlled studies.

Keywords

Adenomyosis, leiomyoma, platelet/lymphocyte ratio, neutrophil/lymphocyte ratio

Histerektomi sonrası adenomyozis ve leiomyoma tanıları alan hastaların pre-operatif inflamasyon parametrelerinin karşılaştırılması

Abstract

Amaç: Bu çalışmada histerektomi sonrası, adenomiyosis ya da leiomyoma histopatolojik tanısı alan hastaların pre-operatif beyaz küre ve platelet sayısı, nötrofili, nötrofil/lenfosit oranı, platelet/lenfosit oranı, platelet dağılım genişliği, ortalama platelet hacmi ve plateletcrit değerlerinin değerlendirilmesi ve iki hastalık arasında bu değerler açısından fark olup olmadığının araştırılması amaçlanmıştır.
Gereç ve Yöntem: Post-operatif histopatolojik tanıları leiomyoma ya da adenomyosis olan 640 hasta çalışmaya dahil edildi. Hastaların demografik özellikleri ve hemogram testi sonuçları retrospektif olarak incelendi.
Bulgular: Toplam 640 hastanın, %61,40’ı (n=393) leiomyoma ve %38,60’ı (n=247) adenomyosis histopatolojik tanısı almıştı. Gruplar arasında beyaz küre ve platelet sayısı, platelet dağılım genişliği, platelet crit, platelet/lenfosit oranları ve nötrofil/lenfosit oranları açısından fark yoktu. Leiomyoma grubunda ortalama platelet hacmi değerleri ve nötrofil yüzdeleri anlamalı olarak adenomiyozis grubuna göre yüksekti.
Sonuçlar: Ortalama platelet hacmi ve nötrofili yüzdesi değerleri leiomyoma ve adenomyozis hastalıkları ayırıcı tanısında yardımcı bir yöntem olarak kullanılabileceği konusunda umut vericidir ancak bu bulguların prospektif kontrollü çalışmalarla desteklenmesi gerekmektedir.

Keywords

Adenomyozis, leiomyoma, platelet/lenfosit oranı, nötrofil/lenfosit oranı

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