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Fırat Tıp Dergisi |
2012, Cilt 17, Sayı 1, Sayfa(lar) 019-022 |
[ Turkish ] [ Tam Metin ] [ PDF ] |
The Incidence of Histopathologic Diagnosis in Hysterectomy Specimens |
Remzi ATILGAN1, Abdullah BOZTOSUN2, Mehmet Reşat ÖZERCAN3 |
1Medicalpark Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Elazığ, Türkiye 2Cumhuriyet Üniversitesi Kadın Hastalıkları ve Doğum Anabilim Dalı, Sivas, Türkiye 3Fırat Üniversitesi Tıp Fakültesi Patoloji Anabilim Dalı, Elazığ, Türkiye |
Objective: This study identified the frequency of clinical indications for hysterectomy and the most common pathologies in hysterectomy specimens.
Material and Methods: A total of 361 hysterectomy specimens between October 2007 and October 2009 were retrieved and studied Results: The most common indication for hysterectomy was leiomyoma (31.85 %). Other indications were endometrial hyperplasia (27.14 %), dysfunctional uterine bleeding (18.55 %), uterine prolapse (9.14 %), chronic pelvic pain (7.20 %), adenomiyosis (3.87 %), cervical neoplasia (2.21 %). The most common pathology identified was leiomyoma (40.16 %). Other pathologies included endometrial hyperplasia (38.22 %), adenomyosis (25.48 %), endometrial polyps (8.86 %), CIN 1 (3.32 %), CIN 2 (1.66 %) and atrophic endometrium (3.60 %). In 158 (43.76 %) of hysterectomy specimens combined pathology was identified. The most common combination was leiomyoma and endometrial hyperplasia (38.60%). Other combined pathologies included adenomoysis and endometrial polyps (17.72 %), adenomyosis and leiomyoma (12.65 %), leiomyoma and endometrial polyps (8.22 %). Conclusion: The existence of cervical disorders should be demonstrated when an operation is going to be performed for an endometrial pathology in a pre or postmenopausal woman. Cervix and cervical canal should be examined during endometrial evaluation. |
[ Turkish ] [ Tam Metin ] [ PDF ] |
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