Journals / GORM:Gynecology Obstetrics & Reproductive Medicine / 2015 / Cilt: 21 - Sayı: 1

Premenopozal Anormal Uterin Kanamalı Olgularda Endometriyal Örnekleme Sonuçlarımız: 1492 Olgunun Analizi

Results of Endometrial Sampling in Patients with Abnormal Premenopausal Hemorrhages: Analysis of 1492 Cases

Pages
27–30
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

High parity rates are supposed to decrease the risk of endometrium cancer.

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: The aim of the study is the evaluation of histopathologic pattern in premenopausal pa- tients subjected to endometrial sampling due to abnormal uterine hemorrhages.
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Key Findings & Data:STUDY DESIGN: The results of 1492 premenopausal patients subjected to endometrial sampling due to abnormal uterine hemorrhages in Diyarbakır Maternity and Children Hospital between January 2013 and December 2013 have been evaluated retrospectively.
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Conclusion & Impact:High parity rates are supposed to decrease the risk of endometrium cancer.
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: The aim of the study is the evaluation of histopathologic pattern in premenopausal pa- tients subjected to endometrial sampling due to abnormal uterine hemorrhages. STUDY DESIGN: The results of 1492 premenopausal patients subjected to endometrial sampling due to abnormal uterine hemorrhages in Diyarbakır Maternity and Children Hospital between January 2013 and December 2013 have been evaluated retrospectively. Adolescents have been excluded from the study. RESULTS: The average age of the patients was 40.75±7.18 years and parity average was 5.01±2.87. 562 of the cases (37.7%) were from the 19-39 years age group while 930 of them (62.3%) were from the 40-51 years age group. The diagnoses were as follows: secretory endometrium for 547 of the cases (36.7%), proliferative endometrium for 377 of the cases (25.3%), endometrial polyp for 179 of the cases (12%), irregular proliferative endometrium for 137 of the cases (9.2%), simple endometrial hyperplasia for 93 of the cases (6.2%), endometritis for 81 of the cases (5.4%), insufficient material for 58 of the cases (3.9%), complex endometrial hyperplasia for 17 of the cases (1.1%) and endometrial adenocar- cinoma for 3 of the cases (0.2%). CONCLUSION: In premenopausal cases, functional endometrial modifications (secretory and prolifera- tive endometrium) are the most frequent observations. Endometrium cancer, endometrial polyp and pre- cancer endometrial hyperplasia increase with age. High parity rates are supposed to decrease the risk of endometrium cancer.

Özet

AMAÇ: Anormal uterin kanama nedeniyle endometriyal örnek- leme yapılan premenopozal olgularda histopatolojik doku ta- nılarının değerlendirilmesidir. GEREÇ VE YÖNTEM: Diyarbakır Kadın Doğum ve Çocuk Has- talıkları Hastanesinde anormal uterin kanama nedeniyle Ocak 2013 - Aralık 2013 tarihleri arasında endometriyal örnekleme yapılan premenopozal 1492 olgunun sonuçları retrospektif ola- rak değerlendirildi. Adelosanlar çalışma dışında bırakıldı. BULGULAR: Olguların yaşlarının ortalaması 40,75±7,18 yıl ve parite ortalaması 5,01±2,87’dır. Olguların 562’si(%37,7) 19-39 yaş grubunda iken, 930’u (%62,3) 40-51 yaş grubundadır. Ol- guların 547(%36,7) sekretuar endometriyum, 377(%25,3) proli- feratif endometriyum, 179(%12) endometriyal polip, 137 (%9,2) düzensiz proliferatif endometriyum, 93 (%6,2) basit endometri- yal hiperplazi, 81 (%5,4) endometrit, 58(%3,9) olgunun yetersiz materyal, 17(%1,1) kompleks endometriyal hiperplazi ve 3 (%0,2) endometrial adenokarsinom tanısı aldığı görülmüştür. SONUÇ: Pre-menopozal olgularda en sık fonksiyonel endo- metrial değişiklikler izlenmektedir. Endometrim kanseri, endo- metriyal polip ve pre-kanseröz endometriyal hiperplaziler yaş ile beraber artış göstermektedir. Yüksek parite oranları endo- metriyum kanser riskini azaltıyor gözükmektedir.

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Cite This Article

BUDAK, M. Ş., ŞENTÜRK, M. B., AKGÖL, S., SAKAR, M. N., TAHAOĞLU, A. E., TOĞRUL, C., YILDIRIM, A. (2015). Premenopozal Anormal Uterin Kanamalı Olgularda Endometriyal Örnekleme Sonuçlarımız: 1492 Olgunun Analizi. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 21 - Sayı: 1, 27–30. https://ajindex.com/articles/198359

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