Yıl 2018, Cilt 19, Sayı 4, Sayfalar 135 - 138 2018-10-26

TÜRKİYE’DE KUZEY-DOĞU ANADOLU BÖLGESİNDEKİ MİDE BİYOPSİLERİNİN İNCELENMESİ İLE: MORFOLOJİK-KLİNİK UYUMUN ÖNEMİ
THE IMPORTANCE OF MORPHOLOGICAL-CLINICAL CONSISTENCY: THROUGH THE REVIEW OF GASTRIC BIOPSIES IN NORTH-EASTERN ANATOLIA REGION IN TURKEY

Rabia DEMİRTAŞ [1] , Şenay ERDOĞAN DURMUŞ [2] , Enver YARIKKAYA [3]

5 14

AMAÇ: Çalışmamızda Türkiye'deki Kuzey-Doğu Anadolu
bölgesindeki gastrik biyopsileri genel olarak gözden
geçirmeyi amaçladık; malignite veya displazi yüzdeleri,
biyopsi tekrarı önerilerinin nedenleri ve alınmışsa ikinci
biyopsi sonuçları gibi.

GEREÇ VE YÖNTEM: İki merkezde 3 patolog tarafından
incelenen 1840 gastrik biyopsi geriye dönük olarak incelendi.
Malignite veya displazi yüzdeleri, biyopsi tekrarı
önerilen vakalar, önerilerin nedenleri ve yeniden alınan
biyopsilerin sonuçları incelendi. İkinci biyopsi sonuçlarında
displazi, malignite ve gastrit anlamlı sonuç olarak
kabul edildi.

BULGULAR: Olgularımızın yaş ortalaması 52.9 ± 16.6
yıl (18-95 yıl) idi. 1012 hasta (% 55) kadın, 828 hasta (%
45) erkekti. 1840 vakanın 90'ında, klinik olarak malignite
şüphesi için biyopsi alındı. Bu olguların 35'i malignite
olarak raporlandı. 1840 vakanın 61'ine biyopsi tekrarı
önerildi. Yeniden biyopsi tavsiyelerinin sebepleri
malignite şüphesi - klinik, malignite şüphesi - morfolojik
ve yetersiz (yüzeyel) biyopsiler olarak üç gruba ayrıldı.
İkinci biyopsi alınan 26 olgunun 12 'si (% 46.2) malignite
ve gastrik displazi olarak bildirildi. 26 olgunun sadece
2'sinde (% 7.6) sonuç anlamlı değildi (yetersiz biyopsi).

SONUÇ: Endoskopik bulgular tanı hakkında bilgi
sağlarken, patognomonik değildir ve histolojik olarak
onaylanması gerekir. Patolog ve gastroenterolog
arasındaki iyi bir diyalog ve yakın çalışma ilişkisi, klinikmorfolojik
tutarlılık, morfolojik-klinik tutarlılık ve nihai
teşhis için önemlidir.

OBJECTIVE: In our study we aimed to make a generally

review of gastric biyopsies in North-Eastern Anatolia

region in Turkey such as; percentages of malignancy or

dysplasia, reasons of re-biopsy recommendations and

results of second biopsies if taken.


MATERIAL AND METHODS: 1840 gastric biopsies which

examined by 3 pathologists at 2 centers were analyzed

retrospectively. Percentages of malignancy or dysplasia,

cases which were recommended for re-biopsies, reasons

of recommendations and results of re-biopsies were

examined. In the results of the second biopsies, dysplasia,

malignancy and gastritis were accepted as a significant

result.


RESULTS: The mean age of our cases was 52.9 ± 16.6 years

(range: 18-95 years). 1012 (55%) patients were females

and 828 (45%) patients were males. In 90 out of 1840

cases, biopsies were taken for suspect of malignancy,

clinically. 35 of 90 cases were reported as malignancy. In

61 out of 1840 cases re-biopsy were recommended. Reasons

of recommendations for re-biopsy categorized in

three groups: suspect of malignancy- clinically, suspect

of malignancy- morphologically, insufficient (superficial)

biopsies. 12 (46.2%) of 26 cases which were taken second

biopsies were reported as malignancy and gastric

dysplasia. Only in 2 (7.6%) of 26 cases the results were

insignificant (insufficient biopsy).


CONCLUSIONS: Endoscopic findings provide information

about the diagnosis but are not pathognomonic

which also need histological confirmation. Close

working relationship and a good dialogue between the

pathologist and the gastroenterologist is essential for

clinical-morpological consistency, morphological-clinical

consistency and final diagnosis.

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Birincil Dil en
Konular
Dergi Bölümü Makaleler-Araştırma Yazıları
Yazarlar

Yazar: Rabia DEMİRTAŞ (Sorumlu Yazar)

Yazar: Şenay ERDOĞAN DURMUŞ

Yazar: Enver YARIKKAYA

Bibtex @araştırma makalesi { kocatepetip474995, journal = {Kocatepe Tıp Dergisi}, issn = {1302-4612}, eissn = {2149-7869}, address = {Afyon Kocatepe Üniversitesi}, year = {2018}, volume = {19}, pages = {135 - 138}, doi = {10.18229/kocatepetip.474995}, title = {THE IMPORTANCE OF MORPHOLOGICAL-CLINICAL CONSISTENCY: THROUGH THE REVIEW OF GASTRIC BIOPSIES IN NORTH-EASTERN ANATOLIA REGION IN TURKEY}, key = {cite}, author = {ERDOĞAN DURMUŞ, Şenay and DEMİRTAŞ, Rabia and YARIKKAYA, Enver} }
APA DEMİRTAŞ, R , ERDOĞAN DURMUŞ, Ş , YARIKKAYA, E . (2018). THE IMPORTANCE OF MORPHOLOGICAL-CLINICAL CONSISTENCY: THROUGH THE REVIEW OF GASTRIC BIOPSIES IN NORTH-EASTERN ANATOLIA REGION IN TURKEY. Kocatepe Tıp Dergisi, 19 (4), 135-138. DOI: 10.18229/kocatepetip.474995
MLA DEMİRTAŞ, R , ERDOĞAN DURMUŞ, Ş , YARIKKAYA, E . "THE IMPORTANCE OF MORPHOLOGICAL-CLINICAL CONSISTENCY: THROUGH THE REVIEW OF GASTRIC BIOPSIES IN NORTH-EASTERN ANATOLIA REGION IN TURKEY". Kocatepe Tıp Dergisi 19 (2018): 135-138 <http://dergipark.gov.tr/kocatepetip/issue/39979/474995>
Chicago DEMİRTAŞ, R , ERDOĞAN DURMUŞ, Ş , YARIKKAYA, E . "THE IMPORTANCE OF MORPHOLOGICAL-CLINICAL CONSISTENCY: THROUGH THE REVIEW OF GASTRIC BIOPSIES IN NORTH-EASTERN ANATOLIA REGION IN TURKEY". Kocatepe Tıp Dergisi 19 (2018): 135-138
RIS TY - JOUR T1 - THE IMPORTANCE OF MORPHOLOGICAL-CLINICAL CONSISTENCY: THROUGH THE REVIEW OF GASTRIC BIOPSIES IN NORTH-EASTERN ANATOLIA REGION IN TURKEY AU - Rabia DEMİRTAŞ , Şenay ERDOĞAN DURMUŞ , Enver YARIKKAYA Y1 - 2018 PY - 2018 N1 - doi: 10.18229/kocatepetip.474995 DO - 10.18229/kocatepetip.474995 T2 - Kocatepe Tıp Dergisi JF - Journal JO - JOR SP - 135 EP - 138 VL - 19 IS - 4 SN - 1302-4612-2149-7869 M3 - doi: 10.18229/kocatepetip.474995 UR - http://dx.doi.org/10.18229/kocatepetip.474995 Y2 - 2018 ER -
EndNote %0 Kocatepe Tıp Dergisi THE IMPORTANCE OF MORPHOLOGICAL-CLINICAL CONSISTENCY: THROUGH THE REVIEW OF GASTRIC BIOPSIES IN NORTH-EASTERN ANATOLIA REGION IN TURKEY %A Rabia DEMİRTAŞ , Şenay ERDOĞAN DURMUŞ , Enver YARIKKAYA %T THE IMPORTANCE OF MORPHOLOGICAL-CLINICAL CONSISTENCY: THROUGH THE REVIEW OF GASTRIC BIOPSIES IN NORTH-EASTERN ANATOLIA REGION IN TURKEY %D 2018 %J Kocatepe Tıp Dergisi %P 1302-4612-2149-7869 %V 19 %N 4 %R doi: 10.18229/kocatepetip.474995 %U 10.18229/kocatepetip.474995
ISNAD DEMİRTAŞ, Rabia , ERDOĞAN DURMUŞ, Şenay , YARIKKAYA, Enver . "TÜRKİYE’DE KUZEY-DOĞU ANADOLU BÖLGESİNDEKİ MİDE BİYOPSİLERİNİN İNCELENMESİ İLE: MORFOLOJİK-KLİNİK UYUMUN ÖNEMİ". Kocatepe Tıp Dergisi 19 / 4 (Ekim 2018): 135-138. http://dx.doi.org/10.18229/kocatepetip.474995