Histopathological Spectrum of Uterus and Cervix in Hysterectomy Specimens

Gupta, Ankur; Sehgal, Sangita; Yadav, Ajay; Kumar, Vinod

doi:10.21276/ijmrp.2016.2.3.029

Cited by 4 publications

(3 citation statements)

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“…14 Eleven (2.31%) cases of endometrial carcinoma were encountered in the present study. This finding is close to that reported by Ankur et al 15 In the present study, myometrium was histologically normal in 210 (44.12%) cases and leiomyoma was the most common myometrial pathology, detected in 179 (37.61%) cases. These findings were comparable to that reported by Vani et al, they reported histologically normal myometrium in 44.28% and leiomyoma in 41.08% cases.…”

Section: Discussionsupporting

confidence: 92%

Hysterectomy: retrospective analysis of 476 cases

Bhugra

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Diseases of the female genital tract are commonly encountered in clinical practice. Hysterectomy is the definite treatment for many of the pelvic pathologies. The present study is aimed at analysis of age and types of hysterectomy and evaluation of histopathological reports of the hysterectomy specimens.Methods: A total of 476 consecutive hysterectomy were studied over a period of two years from January 2016 to December 2017.Results: The peak age group of hysterectomy was 41-50 years with 221 (46.43%) cases. The commonest type of hysterectomy was abdominal. The most common endometrial pathology was atrophic endometrium, seen in 131 (27.52%) cases. In myometrium, the most common pathology was leiomyoma in 179 (37.61%) cases. Among cervical lesions, chronic cervicitis was the most common finding, seen in 274 (57.56%) cases.Conclusions: The experience with various types of hysterectomies at our institution has been reviewed. A wide spectrum of lesions were observed when histopathology reports of the hysterectomy specimens were analysed.

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Section: Discussionsupporting

confidence: 92%

Hysterectomy: retrospective analysis of 476 cases

Bhugra

2020

Int J Reprod Contracept Obstet Gynecol

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“…In a study by MacKenzie et al [13], abdominal hysterectomy was preferred in 79% of the cases and vaginal hysterectomy in 17% of the cases. Studies by Sachin et al [14], Pandey et al [15], Sujatha et al [16], and Gupta et al [17] revealed that the most common hysterectomy procedure was total abdominal hysterectomy. Data from the United Kingdom reveal that abdominal hysterectomy procedures are five to six times more common than vaginal hysterectomy procedures.…”

Section: Discussionmentioning

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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“…It is the most common benign pathology detected in hysterectomy specimens in many studies. 18,19,20,21 Adenomyosis is characterized by the presence of endometrial glands and stroma within the myometrium. Patients are typically pre-or peri-menopausal women who present with abnormal bleeding.…”

Section: Discussionmentioning

confidence: 99%

Frequency and Spectrum of Non-Malignant Lesions in Abdominal Hysterectomy Specimens

Zehra¹,

Gardezi²,

Shams³

et al. 2021

J. Bahria Univ. Med. Dent. Coll.

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Objective: To determine the histological spectrum of non-malignant lesions in abdominal hysterectomy specimens from women of reproductive age group. Study Design and Setting: This was a descriptive cross-sectional study carried out at a private hospital in Karachi from December 2018 to December 2019. Methodology: The uterine specimens of patients (n=262) between the ages of 24 to 55 years were collected. Hysterectomies done due to any benign uterine disease were included in the study. Hysterectomies due to malignant causes were excluded. Pathological diagnosis was done on light microscopy using routine hematoxylin and eosin staining technique. Data collected during the study period included patient's age, clinical history/diagnosis and histological diagnosis. On receiving the hysterectomy specimens as per protocol, specimens were immediately put in 10% formalin, appropriately labeled for patient’s name, gender, age and procedure. In histopathology lab, grossing of the specimens was done using standard protocols. Frequency and variables were analyzed by using descriptive statistics of SPSS-version 22. Results: Total n=262 hysterectomies were received. Mean age of all the patients was 34.7 years ±7.8. Non-malignant uterine pathologies on histopathology included 124(47.7%) leiomyomas, 52(20%) adenomyosis, 32(12.3%) endometrial polyps, 16(6.2%) endometrial hyperplasia, 6(2.3%) endometritis, 3(1.2%) disordered proliferative endometrium and 1(0.4%) endometrial stromal nodule. Rest of the cases showed normal phases of endometrial cycle. Only two cases (0.76%) out of 262 received as clinically benign uterine disease, were diagnosed as malignant on histopathology. Conclusion: Leiomyoma is the most common uterine pathology diagnosed in clinical setting as well as encountered at histopathological examination followed by Adenomyosis and endometrial polyps in women of reproductive age group in Pakistan.

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Histopathological Spectrum of Uterus and Cervix in Hysterectomy Specimens

Cited by 4 publications

References 1 publication

Hysterectomy: retrospective analysis of 476 cases

Hysterectomy: retrospective analysis of 476 cases

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

Frequency and Spectrum of Non-Malignant Lesions in Abdominal Hysterectomy Specimens

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