Özet:

Endometrial sampling comes at the beginning of the most frequently applied invasive processes in gynecology practice. An abnormal uterine bleeding is a very common symptom in gynecological clinics that explains the frequency of endometrial sampling. The purpose of this study is to evaluate the histopathological results of the patients we make endometrial samples in the literature accompanying. Tools and Methods: This is a retrospective study that covers endometrial samples in the Women's Diseases and Birth Clinic between January 2014/December 2018. Medical discharges, voluntary pregnancy terminations and mol pregnancies have been kept out of work. The pathological results are grouped into atrophic endometrium, endometrium, proliferative endometrium, secretory endometrium, desidualization, endometrium, endometrial polyps, endometrial hyperplasia, endometrium adenocarcinoma. Patients are also grouped by age: <40 years; Group 1, 40-54 years; Group 2 and >55 years; Group 3. Results: In the study that included two thousand twenty-three patients, the average age of patients was 47.1 ± 10.0. Unregulated proliferative endometrium, proliferative endometrium, secretary endometrium, desidualization, insufficient material and unatypical hyperplasia resulted significantly different from age groups (p<0,05). Result: Although endometrial sampling retains its importance in the diagnosis of endometrial lesions, the need for processing should be questioned especially under the age of 40. Keywords: anormal urine bleeding; endometrial hyperplasia; endometrial cancer; endometrial biopsy ABSTRACT Objective: endometrial sampling is one of the most frequently used invasive procedures in gynecology practice. The fact that abnormal uterine bleeding is a frequently encountered symptom in gynecology outpatient clinics explains the frequency of endometrial sampling. This study aims to evaluate the histopathological results of patients with whom we performed endometrial sampling accompanied by the literature. Material and Methods: This is a retrospective study covering endometrial sampling performed in the Obstetrics and Gynecology outpatient clinic between January 2014 and December 2018. Medical evacuations, optional pregnancy terminations, and mole pregnancies were excluded from the study. Pathology results were grouped as atrophic endometrium, endometritis, proliferative endometrium, secretory endometrium, decidualization, endometrium with irregular proliferation, endometrial polyp, endometrial hyperplasia, endometrial adenocarcinoma. In addition, patients were grouped by age: <40 years; Group 1, ages 40-54; Group 2 and> 55 years old; Group 3. In the study, which included two thousand twenty-three patients, the average age of the patients was 47.1 ± 10.0. Irregular proliferative endometrium, proliferative endometrium, secretory endometrium, decidualization, insufficient material, and hyperplasia without atypia were significantly different in terms of age groups (p <0.05). Conclusion: Although endometrial sampling remains important in the diagnosis of endometrial lesions, the necessity of the procedure, especially under the age of 40, should be questioned. Keywords: Abnormal Uterine Bleeding; Endometrial Hyperplasia; Endometrial Cancer; Endometrial Biopsy

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