A histopathological study of hysterectomy specimens and their clinical correlation in patients at tertiary health care setup in Bundelkhand region of Uttar Pradesh
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20232282Keywords:
Adenomyosis, Fibroid, Hysterectomy, Menorrhagia, NeoplasticAbstract
Background: Women in their life time are prone to develop several neoplastic and non-neoplastic lesions in her uterus and cervix basically due to hormone responsiveness of female genital tract system. The aim of the study was to evaluate all hysterectomy specimens and to study the pattern of pathological changes of different lesions occurring in cervix and uterus associated with different age groups.
Methods: This retrospective cross-sectional, study was conducted on patients undergoing hysterectomy in department of obstetrics and gynecology in MLB Medical College Jhansi and hysterectomized specimens reported to department of pathology for further evaluation. Total 35 hysterectomy specimens were included in the study with age of patients varying from 30 years to 60 years. Detailed clinical and other relevant history were taken followed by thorough gross examination and histopathological evaluation.
Results: Majority of hysterectomy specimens were sent for histopathological examination in the department of pathology, out of these 30 (85%) were total abdominal hysterectomy specimen, 5 (14.28%) were of vaginal hysterectomy specimens. Out of all these cases, in 7 (20%) cases bilateral or unilateral salpingopherectomy done.
Conclusions: In our study, most common surgical procedure for hysterectomy was abdominal hysterectomy 30 (85.7%) followed vaginal hysterectomy 5 (14.28%) All the vaginal hysterectomy was done for second- and third-degree utero-vaginal prolapse. Most prevalent endometrial histopathological finding in our study is non-secretive 15 (42.8%), secretive 7 (20%) followed by atrophic 6 (17.1%) as most of the patients in our study presents with abnormal uterine bleeding and menorrhagia 23 (65.7%).
References
Berek JS, Novak E. Berek and Novak’s Gynecology. 16th edn. Philadelphia: Wolters Kluwer; 2020.
Sawke NG, Sawke GK, Jain H. Histopathology findings in patients presenting with menorrhagia: a study of 100 hysterectomy specimen. J Mid-Life Health. 2015;6:160-3.
Iverson RE, Chelmow D, Strohbehn K, Waldman L, Evantash EG. Relative morbidity of abdominal hysterectomy and myomectomy for management of uterine leiomyomas. Obstet Gynecol. 1996;88(3):415-9.
Cameron IT. Menstrual disorder. In: Edmond DK. Dewhursts Textbook of Obstetrics and Gynaecology for postgraduates. 6th edn. London: Blackwell Science Press Limited; 1999:410-419
Patil HA, Patil A, Mahajan SV. Histopathological findings in uterus and cervix of hysterectomy specimens. MVP J Med Sci. 2015:26-9.
Rather GR, Gupta Y, Bardhwaj S. Patterns of lesions in hysterectomy specimens: a prospective study. JK Sci. 2013;15(2):63.
Ramachandran TS, Sinha R, Subramanium. Correlation between clinic pathological and ultrasonographic findings. J Clin Diagn Res. 2011;5(4):734-40.
Sachin AK, Mettler L, Jonat W. Operative spectrum of hysterectomy in a German university hospital. J Obstet Gynecol India. 2006;56(1):59-63.
Domblae V. Gundalli S, Sonali. Histopathological analysis of uterine lesions in hysterectomy specimens. Int J Sci Res. 2015;4(5).
Sajjad M, Altaf S, Qayyum S. pathological findings in hysterectomy specimens of patients presenting with menorrhagia in different age groups. Ann Pak Inst Med Sci. 2011;7:160-2.
Sarwar A, Haque A. Types and frequencies of pathologies in endometrial currentings of abnormal uttering bleeding. Int J Pathol. 2005;3(2):65-70.
Lee NC, Dicker RC, Robbin JL. Confirmation of the pre-operative diagnosis for hysterectomy. Am J Obstet Gynaecol. 1998;320:421-7.
Meikle SF, Nugent EW, Orleans M. Complications and recovery from laparoscopy-assisted vaginal hysterectomy compared with abdominal and vaginal hysterectomy. Obstet Gynecol. 1997;89(2):304.
