ENDOMETRİYAL HİPERPLAZİLERDE TANI VE TEDAVİ

Endometrial hyperplasia is an important clinical pathology because of causing abnormal uterine bleeding, has been seen by tumour which is secreting estrogen, after hormonal treatment and with endometrial cancer or before endometrial cancer as a precancerous lesion. Cervicovaginal and endometrial cytology are insufficient in diagnosis. Endometrial tissue sampling is the gold standard in the diagnosis of endometrial hyperplasia. In postmenapausal woman in cases in which the endometrial thickness is 5 mm or above in the transvaginal ultrasonography; endometrial biopsy can be used for screening. In premenapausal woman the endometrial thickness threshold level is 8-10 mm or above. The treatment can be planned by looking patients age, histological type and reproductive condition. Treatment modalities can be examined in 2 ways; medical and surgical: In medical treatment progesterone, oral contraceptives, danazol and GnRH analogues are used. In surgical treatment D&C, hysterectomy, hysteroscopic endometrial ablasion or endometrial resection can be used.