THE HISTOPATHOLOGIC CORRELATION OF DILATATION & CURETTAGE AND HYSTERECTOMY SPECIMENS IN PATIENTS WITH POSTMENOPAUSAL BLEEDING

The aim of this study was to evaluate the consistency of preoperative and postoperative ttİsto-pathological findings in postmenopausal patients vvith bleeding. 42 postraenopausal women presenting wİth the compİaİnt of bleeding to whom both dilatation&curettage (D&C) and hys-terectomy were performed were examined retrospectİvely regarding their pathology results. Each paticnt's D&C and hysterectomy pathology result were compared and the consistency of preoperative and postoperative findings were evaluated by the correlation analyses. Histopath-ologic evaluation of specimens were performed by the pathologîsts specialized on gyneacolog-ic pathology and endometrial hyperplasias were described by terms endorsed by the International Society of Gynecological Pathologîsts. Pathology examination of D&C and hysterectomy specimens of 42 mcnopausal patients were studied and the consistency of preoperative and postoperative findings weıe examined. The distribution of preoperative diagnosis was 16 patients (38%) with irregular proliferative endometrium, 14 patients (33%) wİth sİmple hyper-plasia, 4 patients (9.5%) with complex hyperplasia without atypia, 3 patients (7.14%) with complex hyperplasia with atypia and 3 patients (7.14%) with endometrial polyp. In one patient (2.38%), it was reported that there was no material in D&C and in one patient (2.38%) endometrium cancer was found preoperativcly. The distribution of postoperative diagnosis was 16 patients (38%) with irregular proliferative endomelrium, 12 patients (28.5%) with simple hyperplasia, 5 patients (11.9%) vvith complex hyperplasia without atypia, 4 patients (9.5%) with complex hyperplasia with atypia, 3 patients (7.14%) wilJı endometrium cancer and 2 patients (4.76%) wi£h endometrial polyp. The correlation analysis of these variables has shown that there was a positive correiation between variables (correlalion coefficicnt: 0.98). This means that the preoperative diagnosis correlates positively with the postoperative diagnosis. Howev-er, when preoperative diagnosis group was subgrouped and reanalysed, it seems that whilc the preoperative diagnosis gets worse, D&C may skip the real and much worse pathology. Gener-ally preoperative D&C endometrial pathology findings positively correlate with post operative hysterectomy pathology results. However, as the real pathology gets worse, D&C seems to un-derdiagnose the real pathology and İn cases vvith complex hyperplasia vvilh or vvithout atypia, a second D&C or hysterescopic evaluation in order to get biopsies from suspicİous arcas may be recommended.