Histerektomi Materyallerinde Histopatolojik Tanıların Değerlendirilmesi

Çiğdem Kunt İşgüder, Hatice Yılmaz Doğru, Asker Zeki Özsoy, Bülent Çakmak, İlhan Bahri Delibaş, Akgül Arıcı, Fazlı Demirtürk
In: Journal of Contemporary Medicine · 2016 · vol. 6(2) · doi:10.16899/ctd.65609 · W2313206833
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This study retrospectively evaluated 170 hysterectomy patients, finding leiomyoma as the most common indication and histopathological diagnosis, followed by adenomyosis and endometrial hyperplasia.

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This Turkish paper evaluates how histopathological diagnoses are assessed in hysterectomy specimens, focusing on the reliability/interpretation of pathological findings in surgical material. It is presented as a review/assessment study with limited methodological detail in the provided text, and a key limitation is that the excerpt does not describe the specific cohort size, selection criteria, or the diagnostic concordance metrics used. The main takeaway is that the study addresses the process and evaluation of histopathological diagnoses derived from hysterectomy tissues. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

-The aim of this study is to assess the preoperative clinic indications and postoperative histopathological diagnosis of hysterectomies with benign indications.Materilas and Methods- Clinical features and reports of postoperative histopathological diagnosis of 170 patients, whose underwent hysterectomy with benign indications in Gaziosmanpasa University Medical Faculty Department of Obstetrics and Gynecology, were retrospectively evaluated.Results- The mean age of the patients was 50.48±7.50 (min-38, max-74). Leiomyoma with 77 case (E.3) was the most hysterectomy indicated disease. Thereafter, dysfunctional uterine bleeding in 50 ().49), and endometrial hyperplasia 22 (%12.9) were detected. The other clinical indications were uterine prolapse in 17 patients (%10), chronic pelvic pain in 2 (%1.2) and adenomyosis in 2 (%1.2). The results of histopathological reports belong to hysterectomy materials indicated that leiomyoma was the most common pathological finding with 87 cases (Q.2), subsequently adenomyosis in 35 cases (% 20.5) and endometrial hyperplasia in 31 (18.3) was detected. Endometrial polyp was found in 10 cases (%5.9) and atrophic endometrium in 7 cases (%4.1). Combined pathology was defined in 44 hysteterctomy materials. Leiomyoma and endometrial hyperplasia were detected as the most common combination with a ratio of P. In addition, chronic cervicitis was seen in d.7 of cervical examinations of hysterectomy materials. Conclusion- Adenomyosis should be kept in mind while planning the diagnosis and treatment of patients whose admitted with compliants of menometrorrhagia, seconder dysmenorrhea and chronic pelvic pain in 4th and 5th decade. Endometrial sampling caused by the co-existence of leiomyoma and endometrial hyperplasia must be necessary in hysterectomy planned cases for leiomyoma those already have menometrorrhagia-
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Histerektomi Materyallerinde Histopatolojik Tanıların Değerlendirilmesi Öz Anahtar Kelimeler Kaynakça - Pokras R. Hysterectomy, past, present and future. Stat Bull Metrop Insur Co 1989; 70(4)12-21. - Benrubi GI. History of hysterectomy. J Fla Med Assoc 1988; 75: 533-8 - Davies A, Magos A. Indications and alternatives to hysterectomy. Bailliere’s Clin Obstet and Gynaecol 1997; 11(1): 61- 75. - Wilcox LS, Koonin LM, Pokras R, Strauss LT, Xia Z, Pe- terson HB. Hysterectomy in the United States, 1988- 1990. Obstet Gynecol 1994;83(4):549-55. - Coulter A, Bradlow J, Agass M, Martin-Bates C, Tulloch A. Outcomes of referrals to gynaecology outpatient clinics for menstrual problems: an audit of general practice records. Br J Obstet Gynaecol 1991; 98(8): 789-96. - Rock JA, Jones HW III, Histerektomi, In: Te Linde’s Op- eratif Jinekoloji 9. Basım, Çeviri Editörü: Erol Tavmer- gen, İzmir Güven Kitabevi 2005: Bölüm 31, Sayfa 731- 755. - Vessey MP, Villard-Mackintosh L, McPherson K, Coul- ter A, Yeats D. The epidemiology of hysterectomy: find-ings in a large cohort study. Br J Obstet Gynecol 1992; 99(5): 402-7. - Sandberg SI, Barnes BA, Weinstein MC, Braun P. Elec- tive hysterectomy. Benefits, risks, and costs. Medical Care. 1985;23(9):1067-85. Ayrıntılar Birincil Dil Türkçe Konular Sağlık Kurumları Yönetimi Bölüm - Yazarlar Akgül Arıcı Bu kişi benim Yayımlanma Tarihi 19 Ekim 2016 Gönderilme Tarihi 26 Mart 2016 Kabul Tarihi - Yayımlandığı Sayı Yıl 2016 Cilt: 6 Sayı: 2

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Condition tags

adenomyosischronic_pelvic_paindysmenorrhea

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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