Author/Authors :
Tamay, Aslı Göker Celal Bayar University - School of Medicine - Department of Obstetrics and Gynecology, Turkey , Yıldırım, Yasemin Celal Bayar University - School of Medicine - Department of Obstetrics and Gynecology, Turkey , Buğday, Sultan Celal Bayar University - School of Medicine - Department of Obstetrics and Gynecology, Turkey , Koltan, Semra Oruç Celal Bayar University - School of Medicine - Department of Obstetrics and Gynecology, Turkey , Güvenal, Tevfik Celal Bayar University - School of Medicine - Department of Obstetrics and Gynecology, Turkey , Koyuncu, Faik Mümtaz Celal Bayar University - School of Medicine - Department of Obstetrics and Gynecology, Turkey , Altaş, İrem Celal Bayar University - School of Medicine - Department of Obstetrics and Gynecology, Department of Pathology, Turkey , Kandiloğlu, Ali Rıza Celal Bayar University - School of Medicine - Department of Obstetrics and Gynecology, Department of Pathology, Turkey
Abstract :
Aim. The purpose of this study is to investigate the necessity of preoperative endometrial sampling for hysterectomies with benign indications. Methods. Sixty-eight cases that had hysterectomy for benign indications at Celal Bayar University Department of Obstetrics and Gynecology between 2005 and 2008 were investigated retrospectively. All subjects had undergone dilatation and curettage ( D C) under surface anesthesia before the surgery. Data about age of subjects, hysterectomy indications, endometrial sampling results and endometrial pathology findings of hysterectomy materials were collected from patient files and pathology reports. Preoperative and postoperative endometrial pathology results were compared. Results. The mean age of the patients was 47 (±8.0). Hysterectomy indications were myoma uteri in 50 cases, resistant bleeding in 12 cases, adnexal mass in 5 cases and retention of intrauterine device in 1 case. Preoperative endometrial samplings revealed proliferative endometrium, secretory endometrium, endometrial hyperplasia, endometrial polyp, chronic endometritis and insufficient material, but not endometrial cancer. Postoperative pathologies of the endometrium were proliferative endometrium, secretory endometrium, endometrial hyperplasia, inactive endometrium, atrophic endometrium, basal endometrium and endometrial polyp. Conclusion. Preoperative endometrial sampling is not necessary for cases planned to undergo hysterectomy for benign indications.
