The Evaluation of Histopathologic Diagnosis in Specimens of Hysterectomy

Abstract

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.

Analytical study of hysterectomies

“…A similar incidence is reported by Ranabhat et al 36 Similar report is also by Isaoglu U. 12 Whereas Ojeda et al reported endometrial hyperplasia at 22.3%. 37 In this study atropic endometrium was the histopatholological diagnosis in 4.8% and proliferative endometrium in 9.9% of the cases.…”

“…12,26 Shergill SK reported leiomyoma as the commonest indication for hysterectomy 34% followed by abnormal uterine bleeding 26%. 22 Abnormal uterine bleeding (AUB) is the second commonest indication for hysterectomy in our study 26.6%, followed by adenomyosis 11% and chronic cervicitis 9.3%, benign ovarian tumor 9.1%, CIN 3 2.3%.…”

“…34 Isaoglu reported adenomyosis to be found in 30.23% of the cases. 12 According to Abdulla LS leiomyoma is the commonest histopathology followed by adenomyosis. 9 Leiomyoma and adenomyosis were present together in 6.4% of our study which is similar to the study of Sarfarz, Sakria and Talukder.…”

“…Most common histopathological diagnoses reported in hysterectomy specimens are leiomyoma, adenomyosis and endometrial hyperplasia. 12 In hysterectomies performed, the clinical and per operative findings often do not correlate with the histopathological diagnosis. This is a retrospective study to correlate and evaluate the sensitivity between the indications, demographic features, and clinical presentations and per-operative findings and histopathological diagnosis in patients who underwent hysterectomy.…”

Analysis of Total Laparoscopic Hysterectomy Performed in Our Clinic

“…Currently, hysterectomy is one of the most common surgical treatments (1). Abdominal, vaginal, and laparoscopic techniques are the surgical techniques used for hysterectomy.…”