Endometrial hiperplazi - www.jinekolojivegebelik.com

Atipisiz Endometrial Hiperplazide Yönetim

Atipisiz Endometrial Hiperplazi Karşılaştırmalı Tanımları Evreye göre tedavi Kanser Adenokarsinom Adenokarsinom Kompleks atipili Hormonal veya cerrahi tedavi Prekanseröz lezyon Endometrial intraepitelial neoplazi (EIN) Basit atipili Kompleks atipisiz Hormonal tedavi Estrojen etkisi Endometrial hiperplazi Basit atipisiz Tedavi Fonksiyonel Kategori EIN Sınıflaması WHO Sınıflaması

Endometrial Doku Örneği Ne Zaman Alınmalı ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tanı Yöntemleri ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Atipisiz Endometrial Hiperplazide Yönetim ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Atipisiz Endometrial Hiperplazide Doğal Seyir Kurman RJ, Cancer, 1985 1 (3) 5 (22) 23 (79) Kompleks hiperplazi (29) 1 (1) 17 (18) 74 (81) Basit hiperplazi (93) Kansere Progresyon (%) Persistans (%) Gerileme (%) Hiperplazi histolojisi #

Atipisiz Endometrial Hiperplazide Tedavinin Amacı ,[object Object],[object Object],[object Object]

Medikal Tedavi Seçenekleri ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Medikal Tedavi Seçenekleri ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Progestin etki mekanizması ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Premenopozal Atipisiz Endometrial Hiperplazide Tedavi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Postmenopozal Atipisiz Endometrial Hiperplazide Tedavi ,[object Object],[object Object],[object Object],[object Object]

Postmenopozal Atipisiz Endometrial Hiperplazide Tedavi ,[object Object],[object Object],[object Object],[object Object],[object Object]

Progestin Tedavisi ,[object Object],[object Object],[object Object],Ferenczy A, Am j Obstet Gynecol 1989 0 Progresyon 20 Resistans 80 Regresyon % Atipisiz EH

Progestin Tedavi Sonuçları ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Rattanachaiyanont M, J Obstet Gynecol Res 2005

Megestrol Acetate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gal D, Am J Obstet Gynecol 1983

Micronized Progesteron Vaginal Krem ile Tedavi ,[object Object],[object Object],[object Object],[object Object],[object Object],Affinito P, Maturitas 1994

Levonorgestrel İçeren İntrauterin Araç ,[object Object],[object Object],[object Object],[object Object],Wildemeersch D, Am J Obstet Gynecol, 2003

Gonadotropin Releasing Hormone Analogue ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Grimbizis G, Hum Reprod, 1999

Aromataz İnhibitörleri ,[object Object],[object Object],[object Object],[object Object],[object Object],Agorastos T, Eur J Obstet Gynecol Reprod Biol 2005

Danazol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Mariani L, Int J Gynecol Obstet 1994

Danazol içeren Rahim içi araç ,[object Object],[object Object],[object Object],Tamaoka Y, Gynecol Obstet Invest 2004

Atipisiz Endometrial Hiperplazi Tedavisi Sonrası Rekürrens Oluşumunun Önlenmesi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Postmenopozal Nonatipik EH Tedavisi ,[object Object],[object Object],[object Object],[object Object]

D&C ile İzlem Tabata T, Arch Gynecol Obstet 2001

Tabata T, Arch Gynecol Obstet 2001 D&C ile İzlem

D&C ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tabata T, Arch Gynecol Obstet 2001

Atipisiz Endometrial Hiperplazide Histerektomi ,[object Object],[object Object],[object Object],[object Object],[object Object]

Endometrial hiperplazi - www.jinekolojivegebelik.com

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