Anthropometrical, hormonal, and metabolic differences suggest that PCO+O phenotype is closer to control group than the other PCOS phenotypes.

Angiomyolipoma (AML) is a mesenchymal neoplasm composed of a variable mixture of adipose tissue, smooth muscle cells, and anomalous blood vessels. In the uterus, only a few cases have been reported. We described a uterine AML without evidence of tuberous sclerosus (TS). The clinical presentations of uterine angiomyomatous lesions are nonspecific. The diagnosis of angiomyolipoma can be established with ultrasound and/or computed tomography (CT). The patients whose lower abdomen mass in the abdominopelvic ultrasound and dysfunctional uterine bleeding should be considered AML in the differential diagnosis.

The main aim of this diagnostic case-control study of 136 patients with ovarian cysts (44 patients with ovarian torsion and 92 controls) was to determine the diagnostic value of haematologic inflammatory markers (neutrophil/lymphocyte ratio [NLR], red cell distribution width [RDW] and platelet distribution width [PDW]) for torsioned ovarian cysts. The presence of a torsioned ovarian cyst was identified by a 1.18-fold increase in the NLR (95%CI: 1.04-1.34, P = 0.009), a 1.22-fold increase in the RDW (95%CI: 1.04-1.43, P = 0.023) and a 1.93-fold increase in the PDW (95%CI: 1.19-3.14, P = 0.007). The NLR was the best predictor of a torsioned ovarian cyst (AUC: 0.74; 95% CI: 0.68-0.83). When an NLR cut-off value of 2.44 was used to determine ovarian torsion, the sensitivity, specificity, + LR and -LR were 70.5%, 70.7%, 2.40 and 0.42, respectively. In conclusion, the NLR may have diagnostic and prognostic value in determining torsioned ovarian cysts.

Amaç: Bu çalışmada benign ön tanılarla yapılan histerektomilerin, endikasyonlar ve histopatolojik tanılar açısından değerlendirilmesi amaçlandı. Yöntem: Ocak 2011 ile Aralık 2012 yılları arasında yapılmış olan 258 histerektomi olgusu endikasyonlar ve histopatolojik tanılar açısından retrospektif olarak değerlendirildi. Bulgular: En sık histerektomi endikasyonu anormal uterin kanama idi 87 (%33,72). Daha sonra sırası ile myoma uteri 73 (%28,29) ve endometrial hiperplazi 67 (%25,96) olarak tespit edildi. Diğer klinik endikasyonlar adenomyozis 25 (% 9,68) ve uterus prolapsusu 6 (% 2,32) idi. Histerektomi materyallerinin histopatolojik raporları incelendiğinde, en yaygın patoloji leiomyoma 83 (%32,17), takiben adenomyozis 78 (% 30,23) ve endometrial hiperplazi 77(29,84) idi. Endometrial polip 13 (% 5,04) vakada tespit edildi. 7 (% 2,71) vakada ise atrofik endometrium mevcuttu. Yine histerektomi materyallerinin serviks incelemelerinde olguların % 54,26'sında kronik servisit olduğu gözlendi. Sonuç: Myoma uteri ile endometrial hiperplazilerin yüksek oranda birlikteliği nedeniyle myoma uteri tanısıyla histerektomi planlanan hastalarda menometrorajide mevcutsa mutlaka endometrial örnekleme de yapılmalıdır.Objective: To evaluate hysterectomy procedures performed for benign conditions in terms of indications and histopathological results. Method: Retrospective analysis of 258 hysterectomy cases, which were performed between January 2011 and December 2012, was conducted to review indications and histopathological diagnoses. Results: The most frequent indications for hysterectomy were abnormal uterine bleeding 87, (33,72%), myoma uteri 73, (28,29%) and endometrial hyperplasia 67, ( 25,96%), respectively. Other clinical indications were adenomyosis 25, ( 9,68%) and uterine prolapse 6, (2,32%). The most common histopathological diagnoses reported for hysterectomy specimens were leiomyoma 83, (32,17%), adenomyosis 78, (30,23%) and endometrial hyperplasia 77 (29,84%), respectively. Endometrial polyp was diagnosed in specimens of 13 patients (5,04%). Endometrial atrophy was reported in 7 patients ( 2,71%). Cervical histopathology of hysterectomy materials revealed chronic cervicitis in 54,26% of the patients. Conclusion: Due to the high coincidence of myoma uteri and endometrial hyperplasia, endometrial sampling should be performed in patients who are being considered for hysterectomy for myoma uteri and also have menometrorrhagia.Anahtar Kelimeler: Histerektomi, Endikasyon, Patoloji.

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