Histopathological Spectrum of Uterine and Cervical Lesions in Hysterectomy Specimens

Chavhan, Snehal V.

doi:10.18535/jmscr/v6i1.49

Cited by 4 publications

(4 citation statements)

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“…This is similar to the study conducted by Ramachandran et al [36] The most common ovarian histopathological finding was simple follicular cyst. This has also been observed in several previous studies [25,33] . In the current study, a histopathological examination revealed no pathological lesions in the fallopian tubes.…”

Section: Discussionsupporting

confidence: 91%

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Histopathological analysis of gynaecological hysterectomy specimens at a tertiary care hospital in southern Nigeria

Alegbeleye,

Kasso

2024

Int. J. Clin. Obstet. Gynaecol.

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Background: Hysterectomy is the most common major gynaecological surgery in the world. It effectively treats many gynaecological conditions. Several studies have described the pathological findings in hysterectomy specimens and investigated the relationship between preoperative clinical diagnosis and pathological diagnosis, but none have been carried out at the study centre. Objectives: To determine the indications for hysterectomy, identify the patterns of pathologies in hysterectomy specimens and their correlation with pre-operative clinical diagnosis at the University of Port Harcourt Teaching Hospital. Material and Methods: This retrospective study included 202 women who had non-oncological hysterectomy at the Gynaecology unit of the University of Port Harcourt Teaching Hospital between January 1, 2011, and December 31, 2016. The study included all types of hysterectomies, such as vaginal and total abdominal hysterectomies, as well as unilateral/bilateral salpingectomy/salpingo-oophorectomy. Hysterectomy for gynaecological cancer and pregnancy complications were not considered. The information was gathered from the patients' theatre records, histopathology reports, and case notes and entered into a predesigned proforma. The data set included socio-demographic characteristics, clinical presentation, type of hysterectomy, clinical diagnosis, and pathological lesions. The statistical analysis was performed using SPSS version 25, with a p-value of 0.05 set as the level of significance. Results: Of The 202 cases studied, the most common age group that underwent hysterectomy was 35 and 44 years 94 (46.5%). The most common type of hysterectomy was total abdominal hysterectomy 165 (84.6%). The commonest clinical indications for hysterectomy were leiomyoma 135 (66.8%), followed by adenomyosis 17 (8.4%). The most common findings identified by histopathology were proliferative endometrium 78 (38.6%) in endometrium, leiomyoma 135 (66.8%), in myometrium, chronic cervicitis 7 (3.5%) in cervix, and follicular cysts 15 (40.6%) in ovaries. Histopathological confirmation of preoperative diagnosis was 88.6% for cervical pathology. Majority of the cases pre-operatively diagnosed as Dysfunctional uterine bleeding (DUB) were found to have adenomyosis, endometrial polyp, secretory endometrium, or disordered proliferative endometrium. Conclusion:The most common pathologies found were proliferative endometrium in endometrium, leiomyoma in myometrium, chronic cervicitis in cervix, and chronic salpingitis in fallopian tubes. In most cases, histopathologic analysis confirmed the clinical diagnosis.

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Section: Discussionsupporting

confidence: 91%

“…Some of the specimens contained multiple lesions in the uterus, including ten cases of leiomyoma and adenomyosis. Previous studies reported comparable findings [3,11,20,29,31,33] . In 6.9% of cases, dysfunctional uterine bleeding (DUB) was diagnosed before the operation.…”

Section: Discussionsupporting

confidence: 76%

Histopathological analysis of gynaecological hysterectomy specimens at a tertiary care hospital in southern Nigeria

Alegbeleye,

Kasso

2024

Int. J. Clin. Obstet. Gynaecol.

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“…The youngest patient who presented with AUB in our study were 26 years old and oldest were 78 years which is almost similar to the study done by Hyanki et al and Doraiswami et al 12,13 Abnormal uterine bleeding predominantly affects women of perimenopausal (41-50 years) age group because of increased incidence of intrauterine lesions. [17][18][19][20] The commonest myometrial lesion observed in present study were leiomyoma and majority of patients were in the range from 41-50 years age group (56.86%) which is in concordance with other studies done by Praseeda et al and Sapna et al where 33.5% and 55.0% respectively. 21,22 There are many minor factors or causes present AUB in the present study also but these are small number.…”

Section: Discussionsupporting

confidence: 90%

Histopathological spectrum in cases of abnormal uterine bleeding: a cross sectional study in tertiary care hospital in Tripura

Reang,

Bhaumik,

Banerjee

et al. 2023

Int J Res Med Sci

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Background: Majority women encounter abnormal uterine bleeding in their life where the causes are not limited to cancer even unknown. The actual cause has not been studied in north-east part of India. This data is scarce in State of Tripura. The present study aims to find out histomorphological patterns of AUB reported in AGMC & GBP Hospital in a calendar year. Methods: A cross sectional study was conducted over 2 calendar year from 2021 to 2022 where the cases of AUB irrespective of age, who had undergone endometrial biopsy, endometrial curettage and hysterectomy in Obstetrics and Gynaecology department, AGMC were examined histomorphologically in the dept of Pathology, AGMC. Data were collected in predesigned proforma and analysed using SPSS 21.0 and expressed in both descriptive and inferential statistics. Ethical approval was taken. Results: Total 220 cases of AUB specimens were examined. Among the reported AUB cases, the mean age is 42.5±7.42 year. Overall, 16.81% of the cases of AUB shows normal tissue pattern and 83.19% with abnormal endometrial tissue. Out of 220 sample of AUB, the commonest cause was leiomyoma (20.45%) followed by endometrial hyperplasia (17.27%), adenomyosis (14.54%), mixed tumour lesion (9.09%), endometrial carcinoma (4.54%) and 1.35% shows cervical cancer. Conclusions: Study concluded that In Tripura, majority AUB cases are due to leiomyoma, endometrial hyperplasia, adenomyosis and mixed inflammation indicating proper screening during reproductive stage of the women.

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“…In the reproductive age of the females, the cervix is subjected to many neoplastic and non-neoplastic situations. These conditions lead to high degree morbidity and mortality and exist across all ages in reproductive life (3) .…”

Section: Introductionmentioning

confidence: 99%

Pattern of Uterine and Cervical Lesions Marked on Histopathological Examination of Hysterectomy Specimens

Khalid¹,

Muhammad²,

Abbasi³

et al. 2022

PJMHS

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Background: In Gynecology, most of the knowledge circles around the female reproductive tract and uterus has been a vital organ playing central role in female reproductive life cycle both in terms of menstrual and ostereous cycles. Uterus is subjected to both mechanical and hormonal stresses so uterine pathologies and diseases are the most common pathologies marked in female reproductive systems. These pathologies range from benign uterine pathology to malignancy in many cases. Most of the uterine and cervical pathologies are diagnosed after hysterectomy on histopathological examination only. Objective: The study was carried out to see histopathological patterns of uterine and cervical lesions in hysterectomy specimens. Study Design: Histopathology department of Women Medical and Dental College, Abbottabad from August 2021 to August 2022. Materials and Methods: It was a retrospective study done on hysterectomy samples findings in histopathological examination of uterine and cervical area on 80 specimens over a 1 year period. SPSS latest version was used for DATA. Results: 80 patients were included based on histopathological reports of the post hysterectomy specimens. Age of patients lies < 30 years to > 60 years. Majority of the cases were between 41-50 years and 51-60 years of the age while patients between 41-50 years age group were 50 %,adenomyosis (09%), atrophied uterus (5%), Hyperplasia (10%), leiomyoma with adenomyosis (18.5%), Leiomyoma (55%) and leimyosarcoma (2.5%),while cervical pathologies show cervicitis, (62%), cervical dysplasia (21%), cervicitis (papillary) in 07 %, and 10% cases were normal. Different uterine lesions based on the age of the patients show that Leiomyoma is maximally found in patients between 46-60 years and above 60 years of patients and only two cases were marked below 30 Years. Conclusion: The commonest benign lesion was leiomyoma in uterus followed by adenomyosis combined with leiomyoma, while in cervical canal commonest finding was cervicitis in Hysterectomy specimen. Keywords: Adenomyosis, Histopathology, Hysterectomy, Leiomyoma, Cervicitis.

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Histopathological Spectrum of Uterine and Cervical Lesions in Hysterectomy Specimens

Cited by 4 publications

References 4 publications

Histopathological analysis of gynaecological hysterectomy specimens at a tertiary care hospital in southern Nigeria

Histopathological analysis of gynaecological hysterectomy specimens at a tertiary care hospital in southern Nigeria

Histopathological spectrum in cases of abnormal uterine bleeding: a cross sectional study in tertiary care hospital in Tripura

Pattern of Uterine and Cervical Lesions Marked on Histopathological Examination of Hysterectomy Specimens

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