Kolesistektomi Spesmenlerimizin Histopatolojik Sonuçları ve Malignite Sıklığı

Yıl 2017, Cilt: 1 Sayı: 3, 107 - 111, 18.12.2017

Gülay Turan , Figen Aslan , Eren Altun

Öz

Amaç:
Kolesistektomi uygulanan olgularda safra kesesi hastalıklarının dağılımını
belirlemek.

Yöntemler: Hastanemizde Temmuz 2015-Temmuz 2016
tarihleri arasında herhangi bir nedenle kolesistektomi
uygulanan toplam 116 olguya ait kolesistektomi materyalinin histopatolojik
özellikleri gözden geçirildi. Olguların raporları
yeniden değerlendirildi.

Bulgular: Çalışmaya 87’si (%75) kadın, 29’u (%25) erkek olmak üzere toplam 116 olgu
alındı. Olguların yaş aralığı 20-82, yaş ortalaması 50,98±15,28 idi. En çok
rastlanan hastalıklar 108 olguda görülen kronik kolesistit ve 62 olguda görülen
kolelitiazisdi. Ksantogranulomatöz kolesistitli iki olgumuzda safra kesesi
intraoperatif olarak malignite açısından kuşkulu bulunmuştur. On yedi olguda
metaplazi, üç olguda displazi ve iki olguda insidental olarak adenokarsinom
tespit edildi.

Sonuç: Kolesistektomi
uygulanan olgularda safra kesesinde malign tümör insidansı düşüktür (%1,72).
Klinik olarak bulgu göstermeyen malignitelerin saptanabilmesi veya
ksantogranulomatöz kolesistit gibi malignite kuşkusu oluşturan bulguların
ekarte edilmesi için kolesistektomi spesimenlerinin rutin olarak, yeterli
sayıda örnekleme yapılarak histopatolojik incelemeye alınması gerektiğini düşünüyoruz.

Anahtar Kelimeler

Safra kesesi, Histopatoloji, Malignite

Histopathologic Results of Our Colesystectomy Specimens and Malignancy Frequency

Öz

Aim: To determine
the distribution of gall bladder diseases in cholecystectomy cases.

 

Methods: Histopathologic features
of cholecystectomy specimens from 116 cases, who underwent cholecystectomy
between the dates July 2015 and July 2016, were reviewed. The
reports of the cases were re-evaluated.

 

Findings: A total of
116 cases, 87 (75%) female and 29 (25%) male, were included in the study. Their
age ranged from 20 to 82, and the mean age was found as 50,98 ± 15,28. The most commonly seen diseases were chronic
cholecystitis, present in 108 of the cases, and cholelithiasis, seen in 62 of
them. In our two xanthogranulomatous cholecystitis cases gall bladder was
suspected intraoperatively for malignancy. Metaplasia, dysplasia and incidental adenocarcinoma was detected in 17, 3
and 2 of the cases respectively.

 

Results: The incidence
of malignant gallbladder tumors is low in patients undergoing cholecystectomy (%1,72).
In order to detect clinically asymptomatic malignancies or to exclude the cases
which create malignancy suspect such as xanthogranulomatous cholecystitis, we
think sufficient numbers of sampling and histopathological examinations are
needed. 

Anahtar Kelimeler

Gall bladder, Histopathology, Malignancy

Kaynakça

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