Histopathological Account of Obstetrical and Gynecological Specimens: Retrospective Study at a Tertiary Care Center of Peshawar

Nasim, Omer; Hayat, Muhammad Khizar; Hussain, Zeinab; Fahad, Muhammad; Jamal, Ayesha; Khan, Mohammad Ahmed

doi:10.7759/cureus.14950

Cited by 2 publications

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“…Nasim and coauthors in a study from Peshawar, Pakistan reported similar incidence (92.4%) of chronic cervicitis. 17 Their study reported 3 malignancies of cervix; 2 were squamous cell carcinoma, and 1 was adenocarcinoma. In a previous study from Tamil Nadu chronic cervicitis was seen in 85% of hysterectomies.…”

Section: Discussionmentioning

confidence: 99%

Hysterectomies: An Audit at A Tertiary Care Public Sector Hospital in Lahore, Pakistan

2022

PJMHS

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Background: Hysterectomy is a common gynecological surgery worldwide. Thorough preoperative clinical and radiological assessment of the patients followed by histopathological evaluation of the specimens is mandatory for providing good health care services to the patients. Objective: The objective of the study was to analyze the spectrum of histopathological findings in hysterectomy specimens & correlate them with their clinical & radiological findings. Patients and Methods: This was a retrospective, descriptive, cross sectional study, carried out at the Pathology Department of Fatima Jinnah Medical University, Lahore. All the gynecological hysterectomies received at the department from 1st December 2018 to 30th November 2020 were included in the study. Data collected, included age of the patient, clinical presentation, radiological findings, type of hysterectomy performed and complete histopathology report of the specimen. Data was analyzed using SPSS version 17. Results: A total of 637 hysterectomy specimens were included in the study. The age of the patients ranged from 22 years to 80 years with a mean age of 46 ± 9 years. The commonest clinical indication was a uterine mass (47.7%). Most frequent preoperative radiological (USG/ CT scan/MRI) finding was uterine mass/polyps (52%). The commonest surgical procedure was total abdominal hysterectomy (52.4%). On histopathological evaluation, 99% of the cases showed chronic cervicitis. The commonest diagnosis in the uterine corpus was leiomyoma. Uterine malignancy accounted for 7.3% of the cases and 4.7% of hysterectomies were done for ovarian malignancies. Practical implicationThis study aims to highlight the need for a multi-disciplinary audit for all hysterectomy cases to reduce the incidence of this surgery & for better patient care & management. Conclusion: Hysterectomy is a major, invasive surgical procedure. A vigilant preoperative clinical and radiological evaluation of the patient can reduce the incidence of this surgery. Histopathological analysis of all hysterectomy specimens is mandatory for diagnosis of benign and malignant conditions, recognition of precancerous lesions and detection of incidental findings. Keywords: Hysterectomies, Audit, Leiomyoma, preoperative radiological evaluation, histopathological evaluation

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Section: Discussionmentioning

confidence: 99%

Hysterectomies: An Audit at A Tertiary Care Public Sector Hospital in Lahore, Pakistan

2022

PJMHS

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“…Numerous conditions such as abnormal uterine bleeding, pelvic pain, pelvic inflammatory disease (PID), prolapse of the uterus, adenomyosis, endometriosis, fibroids, gynecological malignancies, and obstetric problems have been reported. Every hysterectomy sample must be examined histopathologically because histology is the only source of the final diagnosis [ 5 ]. Histopathological examination of the specimens obtained after hysterectomy is important for both diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

Histopathological Analysis of Hysterectomy Specimens in a Tertiary Care Centre: A Retrospective Study

Wankhade,

Dawande

2023

Cureus

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Introduction The uterus is a crucial reproductive organ that is susceptible to the development of several non-neoplastic and neoplastic diseases in women, greatly increasing morbidity and mortality. Although there are various therapeutic options, hysterectomy is still a popular treatment option throughout the world. Abnormal uterine bleeding, pelvic pain, pelvic inflammatory disease (PID), prolapse of the uterus, adenomyosis, endometriosis, fibroids, gynecological malignancies, and obstetric problems that require hysterectomy, all samples must be examined histopathologically. Histopathological examination of the specimens obtained after hysterectomy is important for both diagnosis and treatment. The current work aimed to identify the various clinical indications, analyze the clinicopathological correlation in hysterectomy specimens, and analyze the patterns of lesions in hysterectomy specimens. Materials and methods This study was conducted in the Department of Pathology at the Datta Meghe Medical College, Wanadongari, Nagpur, from February 2022 to January 2023. All types of hysterectomy specimens received during this year were examined, and the tissues were processed and stained with H&E. Histopathological examination was performed, and various lesions in the hysterectomy specimens were examined. The study included all forms of hysterectomy, including abdominal, vaginal, laparoscopic, and total abdominal hysterectomy. Results An analysis of 110 cases of hysterectomy revealed that abdominal hysterectomy was the type of hysterectomy in 79 (71.82%) cases, with a maximum age range of 35 to 45 years (42.72%). The proliferative phase endometrium was the most common endometrial pathology, accounting for 43 (39.09%) cases, followed by the atrophic endometrium in 35 (31.82%) cases. Leiomyoma was the most prevalent myometrial lesion, accounting for 52 (47.28%) cases, followed by adenomyosis, accounting for 23 (20.91%) cases. Chronic cervicitis was the most common incidental finding in the hysterectomy samples, accounting for 85 (77.28%) cases. Follicular cysts, representing 22 (20%) cases, were the most common ovarian lesions, followed by serous cystadenoma in seven (6.37%) cases. Two cases of malignant tumors were noted: one case of endometrial carcinoma and one case of mucinous cystadenocarcinoma of the ovary. In most cases, ranging from 70% to 100%, the final histopathological diagnosis supports the preoperative clinical diagnosis. Conclusion Hysterectomy is the most common major gynecological surgery performed under elective conditions. Although histological studies and clinical diagnoses are closely correlated, several lesions, including chronic cervicitis and adenomyosis, were discovered incidentally. Therefore, every hysterectomy specimen must undergo a thorough histological investigation, even if it appears superficially normal, to confirm the diagnosis and improve postoperative care.

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Histopathological Account of Obstetrical and Gynecological Specimens: Retrospective Study at a Tertiary Care Center of Peshawar

Cited by 2 publications

References 14 publications

Hysterectomies: An Audit at A Tertiary Care Public Sector Hospital in Lahore, Pakistan

Hysterectomies: An Audit at A Tertiary Care Public Sector Hospital in Lahore, Pakistan

Histopathological Analysis of Hysterectomy Specimens in a Tertiary Care Centre: A Retrospective Study

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