Histopathological analysis of hysterectomy specimens: one year study

Baral, Gehanath; Sherpa, Palzum; Gautam, Diepty

doi:10.3126/jpn.v7i1.16942

Cited by 12 publications

(17 citation statements)

References 3 publications

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“…In the present study half of the patients 50.8% were seen in the age group of 40-49 years. The commonest surgical approach in the present study is abdominal hysterectomy (69.4%) followed by vaginal hysterectomy (32.6%) which is similar to other studies [8,12]. All vaginal hysterectomy was performed for uterine prolapse.…”

Section: Discussionsupporting

confidence: 85%

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Histopathological analysis of hysterectomy specimens in tertiary care center: two year study

Patel¹,

Shah

2018

Trop J Pathol Microbiol

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Background: The uterus is a major female hormone-responsive reproductive pear-shaped organ located within the pelvic region. The gross morphology of uterus quite dramatically changed throughout life by changing levels of ovarian hormones. A hysterectomy is done for many reasons including the ridding of tumours both benign and malignant. It is the most commonly performed gynecological surgical procedure throughout the world. Materials and Methods: This study was undertaken to identify the different types of pathologies in hysterectomy specimens and to correlate the findings with the different age group and clinical indications. In the present study, 303 cases were studied over a period of two years from January 2016 to December 2017. Surgical specimens were formalin fixed and the tissue was adequately processed for histopathological examination. The sections were stained routinely with hematoxylin and eosin stain. Results: Of the 303 cases, half of the cases (50.8%) were encountered in the age group of 40-49 years which was the most common age group. Fibroid uterus (38.6%) and uterine prolapse (32.6%) were the most common clinical indications for hysterectomy. The most common pathology identified was leiomyoma (42.2%) in myometrium. In cervix most common finding was chronic cervicitis (28.1%). Histopathological examination confirmed the clinical and gross diagnosis in majority of the cases. Conclusions: The present study provides a fair insight into the histological patterns of lesions in hysterectomy specimens in our institution. A wide range of lesions are encountered when hysterectomy specimens are subjected to histopathological examination. Few lesions were encountered as incidental findings. Hence, it is important that every hysterectomy specimen should be subjected to detailed gross and histopathological examination for better postoperative management.

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Section: Discussionsupporting

confidence: 85%

“…All cases of uterine prolapse were presented with second and third degree of utero-vaginal prolapse. Baral R et al observed 56 (21%) cases of uterine prolapse [12].…”

Section: Discussionmentioning

confidence: 97%

Histopathological analysis of hysterectomy specimens in tertiary care center: two year study

Patel¹,

Shah

2018

Trop J Pathol Microbiol

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“…This relatively high frequency of leiomyomas in our study is consistent with studies conducted by Pathak V et al 14 and Baral R et al, 3 both of whom found 49.78% and 48.6% frequency of leiomyoma respectively. In contrast lower values were observed in other studies.…”

Section: Discussionsupporting

confidence: 93%

“…2 Hystrectomy is undertaken for varying indications and is among those gynecological surgeries that are carried out very often all over the globe, to effectively cure many gynecological conditions or save life of women suffering from postpartum hemorrhage in case of obstetrical hystrectomy. 3,4 Hystrectomy is a major surgical procedure enabling increased satisfaction and improved quality of life post-surgery despite its associated complications. 5,6 According to literature by age of sixty around 20% of women had underwent surgical removal of uterus and almost 40% among them diagnosed with abnormal uterine bleeding.…”

Section: Introductionmentioning

confidence: 99%

Frequency and morphology of benign histopathological lesions in total abdominal hysterectomy specimens.

Rashid¹,

Qamar

Pario

2020

TPMJ

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Hysterectomy is one of the most frequently performed gynecological procedure all over the globe undertaken for varying indications, to effectively cure many gynaecological conditions. Histopathological analysis of the hysterectomy specimens should be undertaken for justification of procedure and diagnostic purposes. Objectives: To determine the frequency and morphology of different benign histopathological lesions in total abdominal hysterectomy specimens. Study Design: Descriptive cross-sectional study. Setting: Department of Pathology Fatima Jinnah Medical College. Period: From Jan 2015 to June 2015. Material & Methods: The gross and histopathological findings of uterus and cervix in one hundred Total Abdominal hysterectomy specimens were studied. Non-probability, purposive sampling was done. Total abdominal hysterectomy specimens with or without salpingoophorectomy of patients aged between 20 to 70 years were included. While Total abdominal hysterectomy done in mentally retarded patients and for malignancies were excluded. Patient’s data, presenting complaints and preoperative diagnosis was recorded on predesigned proforma. SPSS version 17 was used as an analytical tool. Results: Age of the patients ranged from 30-55 years with 72% between 41-50 years. The microscopic examination of the cervix revealed features of chronic cervicitis in 75% cases. The commonest neoplastic lesion was leiomyoma present in 66% of cases. Myometrium revealed foci of adenomyosis in 21% cases. Endometrial histology showed hyperplasia in 25% of cases(simple hyperplasia 20%, cystic hyperplasia 4% and complex hyperplasia 1%), hormonal imbalance in 21%, pressure atrophy in 11%, atrophic endometrium in 6% , cystic atrophy in 2% while acute and chronic endometritis in 1% and 2% of cases respectively. Conclusion: The commonest cervical lesion was chronic cervicitis (75%). The commonest benign neoplastic lesion was leiomyoma, present in 66% of cases. Other common pathologies on histology were hyperplasia in 25% of cases, adenomyosis and hormonal imbalance in 21 % of cases each, pressure atrophy in 11%, atrophic endometrium in 6% while endometritis (acute & chronic ) in 3% of cases mainly. Histopathological examination of hysterectomy specimens helps to detect the exact cause and underlined pathology.

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“…Baral R et al 12 Adenomyosis is the second most common myometrial pathology in this study. Adenomyosis is rarely diagnosed preoperatively and is still largely underdiagnosed as it has no specific symptoms of its own.…”

Section: Methodsmentioning

confidence: 99%

Histopathological Spectrum of Uterine and Cervical Lesions in Hysterectomy Specimens

Chavhan¹

2018

jmscr

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Leiomyoma 33 cases (66%) was the common histopathoogical finding followed by combined leiomyoma and adenomyosis accounting for 7 cases (14%). Non-specific cervicitis 39 cases (78%) was the common histopathological finding in cervical lesion followed by 3 cases (6 %) of dysplasia cervix. Conclusion:The most common benign lesion in uterus was found to be leiomyoma followed by adenomyosis combined with leiomyoma while non-specific cervicitis was found in cervical lesion in hysterectomy specimen.

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Histopathological analysis of hysterectomy specimens: one year study

Cited by 12 publications

References 3 publications

Histopathological analysis of hysterectomy specimens in tertiary care center: two year study

Histopathological analysis of hysterectomy specimens in tertiary care center: two year study

Frequency and morphology of benign histopathological lesions in total abdominal hysterectomy specimens.

Histopathological Spectrum of Uterine and Cervical Lesions in Hysterectomy Specimens

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