The Evaluation of Preoperative and Histopathologic Diagnosis in Specimens of Hysterectomy Performed for Benign Conditions
Journal of Surgery
Volume 2, Issue 1, February 2014, Pages: 11-13
Received: Jan. 9, 2014; Published: Feb. 20, 2014
Views 3105      Downloads 172
Authors
Ozan Turgut, Iskenderun State Hospital, Gynecology Clinic, Hatay, Turkey
Serdar Yanık, Iskenderun State Hospital, Pathology Clinic, Hatay, Turkey
Aybala Agac Ay, Kirikkale University, School of Medicine, Department of General Surgery, Kirikkale, Turkey
Isin Gencay, Kirikkale University, School of Medicine, Department of Anesthesiology and Reanimation, Kirikkale, Turkey
Sümeyra Nergiz, Adnan Menderes University, School of Medicine, Department of Gynecology, Aydin, Turkey
Ahmet Ay, Kirikkale Yuksek Ihtisas Hospital, Department of General Surgery, Kirikkale, Turkey
Oktay Aydin, Gaziantep Dr.Ersin Aslan State Hospital, Department of General Surgery, Gaziantep, Turkey
Article Tools
PDF
Follow on us
Abstract
The aim of this study is to evaluate hysterectomy procedures performed for benign conditions in terms of indications and histopatho-logical results. Retrospective analysis of 32 hysterectomy cases, which were performed between January 2011 and Decem-ber 2012, was conducted to review indications and histo-pathological diagnoses. The most frequent indications for hysterectomy were abnormal uterine bleeding myoma uteri and endometrial hyperplasia, respectively. Other clinical indications were adenomyosis and uterine prolapse .The most common histopathological diagnoses reported for hysterectomy specimens were leiomyoma adenomyosis and endometrial hyperplasia respecti-vely. Endometrial polyp was diagnosed in specimens of patients. Endometrial atrophy was reported in patients. Cervical histopathology of hysterectomy materials revealed chronic cervicitis in of the patients. Due to the high coincidence of myoma uteri and endometrial hyperplasia, endometrial sampling should be performed in patients who are being considered for hysterectomy.
Keywords
Hysterectomy, Benign Diseases, Pathological Evaluation
To cite this article
Ozan Turgut, Serdar Yanık, Aybala Agac Ay, Isin Gencay, Sümeyra Nergiz, Ahmet Ay, Oktay Aydin, The Evaluation of Preoperative and Histopathologic Diagnosis in Specimens of Hysterectomy Performed for Benign Conditions, Journal of Surgery. Vol. 2, No. 1, 2014, pp. 11-13. doi: 10.11648/j.js.20140201.14
References
[1]
National Collaborating Centre for Women's and Children's Health (UK). Heavy Menstrual Bleeding. London: RCOG Press; 2007 Jan. (NICE Clinical Guidelines, No. 44.) 12, Hysterectomy. Available from: http://www.ncbi.nlm.nih.gov/books/NBK56535/
[2]
Isaoğlu U.The Evaluation of Histopathologic Diagnosis in Specimens of Hysterectomy.Abant Med J. 2013; 2(2):91-943
[3]
Surgical approach to hysterectomy for benign gynaecological disease. Nieboer T. DOI: 10.1002/14651858.CD003677.pub3)
[4]
Moutinho JAF,Barbosa LG,Torres DG,Nunes SM. Abnormal uterine bleeding as a presenting symptom is related to multiple uterine leiomyoma: an ultrasound-based study.Int J Womens Health. 2013; 5: 689–694.
[5]
Buttram VC, Jr, Reiter RC. Uterine leiomyoma: etiology, symptomatology and management. Fertil Steril. 1981;36:433–445.
[6]
Haney AF. Clinical decision making regarding leiomyomata: what we need in the next millennium. Environ Health Perspect. 2000;108(Suppl 5):835–839.
[7]
Lepine LA, Hillis SD, Marchbanks PA, Koonin LM, Mor-row B, Kieke BA, Wilcox LS. Hysterectomy surveillance- United States 1980-1997. MMWR 1997; 46: 1-15.
[8]
Cramer SF, Patel A. The frequency of uterine leiomyo-mas. Am J Clin Pathol 1990; 94: 435-8.
[9]
Dinçgez B, Coşkun Eİ, Ayanoğlu YT. Kliniğimizde gerçekleştirilen histerektomi olgularının değerlendirilmesi. Şişli Etfal Hastanesi Tıp Bülteni 2011; 45: 35-8.
[10]
Rizvi G,Pandey H,Pant H,Chufal SS,Pant P. Histopathological correlation of adenomyosis and leiomyoma in hysterectomy specimens as the cause of abnormal uterine bleeding in women in different age groups in the Kumaon region: A retroprospective study.J Midlife Health. 2013 Jan-Mar; 4(1): 27–30.
[11]
Ojeda VJ. The pathology of hysterectomy specimens. Z Med J 1979; 89: 169-71.
[12]
Atılgan R, Boztosun A, Ozercan MR. Histerektomi materyallerinde histopatolojik tanıların insidansı. Fırat Tıp Dergisi 2012; 17: 19-229.
[13]
Kunz G, Beil D, Huppert P, Noe M, Kissler S, Leyen-decker G. Adenomyosis in endometriosis prevalence and impact on fertility. Evidence from magnetic resonance imaging. Hum Reprod 2005; 20: 2309-16.
[14]
Çakmak B, Özsoy Z, Hısım Y, Nacar M, Metin FZ, Demirtürk F. Benign endikasyonlar nedeniyle uygulanan histerektomi materyallerinde adenomyozis sıklığı. Çağdaş Tıp Dergisi 2012; 2: 158-161.
[15]
Reed SD, Newton, KM; Clinton WL, et al. Incidence of endometrial hyperplasia. Am J Obstet Gynecol 2009;200:678.e1-678.e6.
[16]
Shegill SK, Shergill HK. Clinicopathological study of hysterectomies. J Indian Med Assoc 2002; 100: 238
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186