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 Elazığ.
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.
Key words: Endometrium; Dysfunctional Uterine Bleeding; Histopathology.
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