Unexpected risk of gynecological malignant and premalignant disease in women undergoing hysterectomy for pelvic organ prolapse

dc.authorid0000-0002-0745-0907
dc.contributor.authorEkici, Mustafa Ayhan
dc.contributor.authorÖnal, Ali Can
dc.date.accessioned2021-06-23T18:27:19Z
dc.date.available2021-06-23T18:27:19Z
dc.date.issued2020
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractAim: To investigate the incidence of unexpected malignant and premalignant gynecological pathological findings among women who underwent hysterectomy due to pelvic organ prolapse (POP). Methods: In this retrospective study, the medical reports of women who underwent hysterectomy for POP between 2007 and 2019 were investigated to reveal unexpected malignant and premalignant lesions. The possible relationship between pathological results and other variables was evaluated statistically. Results: The hysterectomy was performed by abdominal (160, 30.53%), laparoscopic (62%, 11.83%) and vaginal approaches (302, 57.63%) in 524 patients with POP indication. Thirty five patients (6.67%) had unexpected premalignant or malignant pathological findings found on hysterectomy specimens. Simple hyperplasia was found in 18 patients (3.44%), complex hyperplasia in two patients (0.38%); CIN-1 (LSIL) low grade cervical intraepithelial dysplasia in nine patients (1.7%), CIN-II, moderate dysplasia in two patients (0.38%); CIN-III, severe dysplasia in one patient (0.19%); vaginal carcinoma in two patients (0.38%) and endometrial carcinoma in one patient (0.19%). In the vaginal hysterectomy group, the incidence of unsuspected gynecological malignancy was founded at the rate of 0.57% (3/524) and the percentage of the group was significantly higher than laparotomic and laparoscopic hysterectomy groups. Statistically significant difference was not found between the groups with respect to unexpected uterine malignancy. Conclusion: Women without abnormal vaginal bleeding do not have high risk of premalignant or malignant pathological reporting after uterovaginal prolapse surgery, however it should not be neglected.en_US
dc.identifier.doi10.30714/j-ebr.2020157454
dc.identifier.endpage62en_US
dc.identifier.issn2618-6454
dc.identifier.issn2618-6454
dc.identifier.issue1en_US
dc.identifier.startpage56en_US
dc.identifier.trdizinid378958en_US
dc.identifier.urihttps://doi.org/10.30714/j-ebr.2020157454
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TXpjNE9UVTRPQT09
dc.identifier.urihttps://hdl.handle.net/20.500.12491/1641
dc.identifier.volume3en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorEkici, Mustafa Ayhan
dc.institutionauthorÖnal, Ali Can
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.subjectPelvic Organ Prolapse
dc.subjectUterovaginal Prolapse
dc.subjectHysterectomy
dc.subjectMalignancy
dc.titleUnexpected risk of gynecological malignant and premalignant disease in women undergoing hysterectomy for pelvic organ prolapseen_US
dc.typeArticleen_US

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