Is it necessary to perform an endometrial sampling prior to hysterectomies for benign conditions?

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dc.authorid0000-0002-0745-0907
dc.contributor.authorHanlıgil, Erhan
dc.contributor.authorEkici, Mustafa Ayhan
dc.date.accessioned2021-06-23T18:27:15Z
dc.date.available2021-06-23T18:27:15Z
dc.date.issued2019
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractAim: Hysterectomy is one of the most prevalent surgical intervention in gynecological field. This study concerns the requirement and necessity of an endometrial sampling to exclude an unpredictable uterine malignancy risk before hysterectomy for benign conditions. Methods: This is a retrospective and cross-sectional study involving 307 patients who had hysterectomy for benign conditions between years 2014-2018. Prior to hysterectomy, in 162 cases, an endometrial sampling was performed ahead (biopsy group) and in 145 cases, hysterectomy was performed without obtaining an endometrial sampling earlier on (control group). Pre- and postsurgical pathological evaluation reports were collected and compared between the groups. Results: Features of the patients as mean age, number of previous pregnancies, being at postmenopausal status did not vary significantly between two groups. In the biopsy group, 51.2% of the patients were in the premenopausal period, 40.7% of the patients had postmenopausal bleeding and 52.5% had abnormal uterine bleeding symptoms and these three features were significantly higher than in the control group. In the control group, one case (0.7%) had leiomyosarcoma and another case (0.7%) had endometrial adenocarcinoma. In the biopsy group, endometrial adenocarcinoma was detected in 5 patients (3.1%) as significantly higher than in the control group. Conclusion: If there are no symptoms, clinical and radiological findings suggesting an endometrial malignancy in patients who planned to undergo a hysterectomy for benign conditions, it is unnecessary to perform a routine endometrial biopsy.en_US
dc.identifier.doi10.30714/j-ebr.2019250353
dc.identifier.endpage84en_US
dc.identifier.issn2618-6454
dc.identifier.issn2618-6454
dc.identifier.issue2en_US
dc.identifier.startpage76en_US
dc.identifier.trdizinid370408en_US
dc.identifier.urihttps://doi.org/10.30714/j-ebr.2019250353
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TXpjd05EQTRPQT09
dc.identifier.urihttps://hdl.handle.net/20.500.12491/1627
dc.identifier.volume2en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorHanlıgil, Erhan
dc.institutionauthorEkici, Mustafa Ayhan
dc.language.isoenen_US
dc.relation.ispartofExperimental Biomedical Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHysterectomy
dc.subjectEndometrial Biopsy
dc.subjectDilation and Curettage
dc.subjectBenign Uterine Conditions
dc.subjectEndometrial Malignancy
dc.titleIs it necessary to perform an endometrial sampling prior to hysterectomies for benign conditions?en_US
dc.typeArticleen_US

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