Histopathological findings in women that living Elazig with abnormal uterine bleeding: in 20 years -

O. Solmaz
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引用次数: 1

Abstract

Aim: Abnormal uterine bleeding refers to any uterine bleeding that occurs in excessive amounts of regular menstrual bleeding or any postmenopausal bleeding. The present study aims to determine histopathological findings in Turkish women with abnormal uterine bleeding in ElazA½A°. Material and Methods: Retrospectively 420 women with abnormal uterine bleeding were included in the study. Hematoxylin and eosin sections of the cases were re-evaluated by a single pathologist. Results: Of the 316 premenouposal cases %37,02 was diagnosed as (n=117) proliferative endometrium, %22,46 as (n=71) secretuar endometrium, as %3,79 (n=12) desidualisation, as %1,26 (n=4) atrophy, as %2,53 (n=8) placental tissue, as %12 (n=38) dysfunctional uterine bleeding, %12,34 (n=39) as endometrial polyp, %7,9 (n=25) as endometrial hyperplasia, and %0,63 (n=2) as endometrial adenocarcinoma. Of the 104 postmenouposal cases diagnosed as %10,57 (n=11) proliferative endometrium, %0,96 as (n=1) secretuar endometrium, %17,30 (n=18) as desidualisation, %13,46 (n=14) as endometrial polyp, %39,42 (n=41) atrophy, %12,5 (n=13) as endometrial hyperplasia, %5,76 (n=6) as endometrial adenocarcinoma. Conclusions: In our region, because endometrial sampling results belong patients with abnormal uterine bleeding which is usually concordant to age and menstrual cycle, We conclude that non-invasive methods should be tried before sampling. Endometrial carcinoma risk is consistent with the literature,so endometrial samplings should not be avoided.
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子宫异常出血患者的组织病理学观察:20年
目的:异常子宫出血是指在正常月经出血或绝经后出血过多时发生的任何子宫出血。本研究的目的是确定组织病理学发现在土耳其妇女异常子宫出血在ElazA½A°。材料与方法:回顾性分析420例子宫异常出血妇女。病例的苏木精和伊红切片由一位病理学家重新评估。结果:在316例绝经前病例中,有3702例诊断为增生性子宫内膜(n=117), 2246例(n=71)为分泌性子宫内膜,379例(n=12)为去个体化,1,26例(n=4)为萎缩,2,53例(n=8)为胎盘组织,12,38例(n=38)为功能失调性子宫出血,12,34例(n=39)为子宫内膜息肉,7,9例(n=25)为子宫内膜增生,0,63例(n=2)为子宫内膜腺癌。104例绝经后诊断为增生性子宫内膜57例(n=11),分泌性子宫内膜96例(n=1),去个体化子宫内膜17.30例(n=18),子宫内膜息肉13.46例(n=14),萎缩39.42例(n=41),子宫内膜增生12.5例(n=13),子宫内膜腺癌5.76例(n=6)。结论:在本地区,由于子宫内膜取样结果多为与年龄、月经周期一致的异常子宫出血患者,故在取样前应尝试无创方法。子宫内膜癌的风险与文献一致,因此不应避免子宫内膜取样。
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