Adenomyozis ve Adenomyozise Eşlik Eden Endometrial Patolojilerin Değerlendirilmesi: 3 Yıllık Klinik Tecrubemizin Retrospektif Analizi

Aim: To investigate other endometrial and myometrial pathologies accompanying cases of adenomyosis to which TAH / TAH + BSO (Total Abdominal Hysterectomy/ Total Abdominal Hysterectomy +Bilateral Salpingooforectomia) were performed in our hospital. Material and Methods: Of the 2954 patients who were treated with hysterectomy in our hospital between January 2009 and December 2011 with different indications such as therapy resistant menometrorrhagia, uterine myoma, pelvic organ prolapse, endometrial hyperplasia, pelvic mass, and endometrial cancer, 650 cases were diagnosed with adenomyosis and are included in this study. The other endometrial pathologies accompanying adenomyosis were recorded. Age, gravidity, parity, menopausal status, and demographic data were evaluated. Results: Patients’ age ranged changed from 35 to 77 and the mean age was 50,2±5,79. The average number of gravida 4,2 ± 2,4 and the average number of parity was 2,9 ± 1,4. Most of the patients were aged between 45-55 (%65,2). Postoperative histopathological examination of the specimens revealed; 7,8% endometrial polyp, 7,8% endometrial hyperplasia, 5,4% atrophic endometrium, 1,2% endometrial cancer, 23,8% proliferative phase endometrium, 12% secretory phase endometrium, 8,2 %disordered proliferative endometrium and 33,7% other nonspecific findings along with adenomyosis. Conclusion: Adenomyosis is frequently seen disease and therefore may be associated with endometrial abnormalities. But evident endometrial pathology is not detected in ¾ of the endometrial biopsies of patients with adenomyosis. The most common concomitant endometrial pathologies are endometrial polyp and hyperplasia, the most common uterine pathology is uterine leiomyoma. In patients whose complaints persist even after local treatment of endometrial polyp and hyperplasia, possibility of adenomyosis should be considered. This association should be kept in mind in treatment planning.