ENDOMETRİAL ÖRNEKLEM SONUÇLARIMIZ: 1403 OLGUNUN İNCELENMESİ

Yıl 2017, Cilt: 48 Sayı: 3, 99 - 102, 08.09.2017

Özgül Özgan Çelikel , Özlem Doğan , Dilek Benk Şilfeler

https://doi.org/10.16948/zktipb.292821

Öz

ENDOMETRİAL
ÖRNEKLEM SONUÇLARIMIZ: 1403 OLGUNUN İNCELENMESİ

ÖZET

Giriş:
Probe
küretaj endometrial hastalıkların tanısını koymada sık kullanılan bir
yöntemdir. Çalışmamızın amacı kliniğimizde yapılan endometrial örneklem
endikasyonlarını, olguların örneklem sonrası histopatolojik sonuçlarını,  premenapozal ve postmenapozal olarak
karşılaştırmaktır.

Gereç
ve Yöntemler: Ocak 2015-Ocak 2016 tarihleri arasında
kliniğimizde  yapılan endometrial
örneklemler, hasta dosyaları retrospektif olarak incelenerek değerlendirildi.
Hastalar premenapozal ve postmenapozal olarak iki gruba ayrıldı. Hastaların yaş
aralıkları, başvuru nedenleri ve histopatolojik inceleme sonuçları
istatistiksel olarak karşılaştırıldı.

Bulgular:
Premenapozal grupta 969 ( % 69.1) hasta ve postmenapozal grupta 434 ( % 30.9)
hasta mevcuttu. Premenopozal grup yaş ortalaması 45.06 ± 3.4 yaş idi.
Postmenopozal grupta yaş ortalaması 51.05 ± 8.6 yaş idi. Endometrial örnekleme
yapılan hastaların ensık başvuru nedenleri, premenopozal grupta anormal uterin
kanama % 69.1, postmenopozal grupta ise  
% 16 kontrol amacıyla gelip endometrial kalınlık tesbit edilenler idi.

Sonuç:
Anormal uterin kanama nedeniyle yapılan endometrial örneklemeler tanı ve
tedavide yaygın olarak kullanılır. Özellikle postmenapozal dönemde endometrium
kanserinde erken tanı için önemlidir. Premenapozal endometrial örnekleme
endikasyonu koyarken seçici davranmalıdır.

Anahtar Kelimeler

Anormal uterin kanama, postmenapozal kanama

ENDOMETRIAL SAMPLING RESULTS: INVESTIGATION OF 1403 CASES

Öz

ABSTRACT

Introduction:
Probe curettage is a method commonly used in the diagnosis of endometrial
disease. The aim of our work done in our clinic endometrial sampling
indications, cases of the sample after the histopathological results, to
compare the premenopausal and postmenopausal.

Material
and Methods: Between January 2015-January 2016
endometrial samples done in our clinic, patients were evaluated retrospectively
analyzed. Patients were divided into two groups premenopausal and
postmenopausal. The age range of the patients, the cause and histopathological
results were compared statistically.

Results:
In 969 premenopausal group (69.1%) patients and in post-menopausal group, 434
(30.9%) patients were available. Premenopausal mean age was 45.06 ± 3.4 years.
The average age was 51.05 ± 8.6 years in postmenopausal group. Endometrial
sampling cause of otitis media visit commonly refer patients who, abnormal
uterine bleeding in premenopausal women, 69.1%, and in postmenopausal women who
were determined to come in order to control 16% of endometrial thickness.

Conclusion:
Abnormal uterine bleeding due to endometrial sampling performed widely used in
diagnosis and treatment. In particular, it is important for early diagnosis in
postmenopausal endometrial cancer. Premenopausal endometrial sampling should be
selective when placing indication.

Anahtar Kelimeler

abnormal uterine bleeding, postmenopausal bleeding

Kaynakça

• 1. Abdelazim IA, Abdelrazak KM, Elbiaa AA, Al-Kadi M, Yehia AH. Arch Gynecol Obstet. Accuracyof endometrial sampling compared to conventional dilatation and curettage in women with abnormal uterine bleeding. 2015;291(5):1121-6. doi: 10.1007/s00404-014-3523-y. Epub 2014Nov4.
• 2. Vaidya S, Lakhey M, Vaidya S, Sharma PK, Hirachand S, Lama S, KC S Histopathological pattern of abnormal uterine bleeding in endometrial biopsies. Nepal Med Coll J. 2013 Mar;15(1):74-7.
• 3. Singh S, Best C, Dunn S, Leyland N, Wolfman WL. Abnormaluterinebleeding in pre-menopausalwomen. J Obstet Gynaecol Can. 2013;35(5):473-9.
• 4. Cho HJ, Lee ES, Lee JY, Hong SN, Ji YI. Investigations for Postmenopausal Uterine Bleeding: Special considerations for Endometrial Volume. Archives of Iranian Medicine. 2013;16(11):665-70
• 5. Paula J. Adams Hillard. Kadın Üreme Organları Bening Hastalıkları: semptom ve bulgular. In the Novak Jinekoloji(Jonathans-Berek, ed) Nobel tıp kitabevleri, 2004:351-420.
• 6. Brill A. What is the role of hysterescopy in the management of abnormal uterine bleeding? Clin Obstet Gynecol 1995;38:319-45
• 7. Tuncer R, Uygur R, Kış S. Ankara Zübeyde Hanım Doğumevi 2000 yılı endometrial biopsi sonuçları: 676 olgunun analizi. MN Klinik Bilimler&Doktor 2003;9:97-9
• 8. Saatli B, Yildirim N, Olgan S, Koyuncuoglu M, Emekci O, Saygılı U. The role of endometrial thickness for detecting endometrial pathologies in asymptomatic postmenopausal women. Aust N Z J ObstetGynaecol. 2014;54(1):36-40. doi: 10.1111/ajo.12174
• 9. Gredmark T, Kvint S, Havel G, Mattsson LA. Histopathological findings in women with postmenopausal bleeding. BJOG: An International Journal of Obstetrics Gynecology. 1995;102(2): 133-6
• 10. Goldstein SR, Nachtigall M, Snyder JR. Endometrial assesment by vaginal ultrasonography before endometrial sampling in patients with postmenopausal bleeding. American Journal of Obstetrics and Gynecology. 1990;163(1):119-23
• 11. Anastasiadis PG, Koutlaki NG, Skaphida PG, Galazios GC, Tsikouras PN, Liberis VA. Endometrial polyps: prevalence, detection and malignant potential in women with abnormal uterine bleeding. European Journal of Gynaecological Oncology 2000;21 (2):180-3.
• 12. Cărăuleanu A, Lupaşcu IA, Cărăuleanu DM, Socolov R, Socolov D. Clinico-epidemiological study of endometrialhyperplasia--a risk factorforthedevelopment of endometrialcarcinoma? Rev Med Chir Soc Med Nat Iasi. 2015 Jan-Mar;119(1):154-61.
• 13. Elisabeth E, Anette R, Lennart S, Valentin L. Dilatation and curettage fails to detect most focal lesions in the uterine cavity in women with postmenopausal bleeding. Acta Obstetrica et Gynecologica Scandinavia. 2001;80(12):1131-6
• 14. Goldstein RB, Bree RL, Benson CB, Benacerraf BR, Bloss JD et al. Evaluation of the women with postmenopausal bleeding: Society of Radiologist in Ultrasound-SponsoredConsensus Conference statement. 24-25 October 2000, Washington, DC, preceding the annual Society of Radiologist in ultrasound Advances in Sonography conference.
• 15. Madhra M, Fraser IS, Munro MG, Critchley HO. Abnormal uterine bleeding: advantages of formal classification to patients, clinicians and researchers. Acta Obstet Gynecol Scand. 2014;93(7):619-25. doi: 10.1111/aogs.12390