Benign endikasyonlarla yapılan histerektomi materyallerinde adenomiyozis sıklığı ile preoperatif endometrial biyopsi ve pelvik semptomlarla ilişkisi

Sefa Arlıer, Cevdet Adıgüzel, Seyfettin Senih Karaman, Esra Yılmaz, Gülden Uzer Ekin, Sevtap Seyfettinoğlu, Sevtap Seyfettinoğlu Öncül, Oğuz Yücel
In: Bakirkoy Tip Dergisi / Medical Journal of Bakirkoy · 2015 · pp. 55–59 · doi:10.5350/btdmjb201511203 · W2762451417
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This study evaluated the frequency of adenomyosis in hysterectomy specimens performed for benign indications and its relationship with preoperative endometrial biopsy and pelvic symptoms.

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This retrospective study analyzed 299 hysterectomy specimens from abdominal, laparoscopic, and vaginal procedures performed for benign indications at a single hospital to determine how frequently adenomyosis appeared on histopathologic evaluation. Adenomyosis was found in 79 cases (26.4%), and its frequency was higher among patients with abnormal uterine bleeding. At preoperative endometrial sampling, adenomyosis was more common when irregular proliferative endometrium, endometrial hyperplasia, or endometrial polyps were reported (p<0.001). Pelvic pain was not a significant predictor of adenomyosis in this analysis. This paper is centrally about adenomyosis — it quantifies adenomyosis prevalence in benign hysterectomy materials and examines its association with preoperative endometrial biopsy findings and pelvic symptoms.

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Abstract

ZET Benign endikasyonlarla yaplan histerektomi materyallerinde adenomiyozis skl ile preoperatif endometrial biyopsi ve pelvik semptomlarla ilikisi Ama: Benign endikasyonlar ile yaplan histerektomi materyallerinde adenomiyozis sklnn deerlendirilmesi
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Abstract

Objective: To determine the frequency of adenomyosis in hystrectomy materials.

Materials and methods

We herein analyse the adenomyosis frequency in histopathologic evaluation of 299 abdominal, laparoscopic and vaginal hysterectomy materials performed due to bening causes in Adana Numune Training and Research Hospital, Department of Obstetrics and Gynecology. The relationship between adenomyosis and preoperative endometrial biopsy results and the genitourinary symptoms of these patients were also evaluated.

Results

299 hysterectomy materials are evaluated in this study and 79 adenomyosis (%26.4) case are determined. Adenomyosis was more frequent in patients with abnormal uterine bleeding and also in patients in whom irregular proliferative endometrium, endometrial hyperplasia and endometrial polyps was determined at preoperative endometrial sampling (p<0.001); pelvic pain was not found to be a significant factor in the prediction of adenomyosis.

Conclusion

Adenomyosis is a frequent finding in patients who have had hysterectomy for benign conditions. It is more frquent in patients with abnormal uterine bleeding and also in patients in whom irregular proliferative endometrium, endometrial hyperplasia and endometrial polyps were determined at preoperative endometrial sampling.

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