TY  - JOUR
T1  - Histopathological Analysis of Hysterectomy Specimens in A Tertiary Care Centre: A Retrospective Study
AU - Harini, M. AU - Thangam, Jesu 
JO  - Research Journal of Medical Sciences
VL  - 18
IS  - 11
SP  - 837
EP  - 842
PY  - 2024
DA  - 2001/08/19
SN  - 1815-9346
DO  - makrjms.2024.11.837.842
UR  - https://makhillpublications.co/view-article.php?doi=makrjms.2024.11.837.842
KW  - Hysterectomy
KW  - leiomyoma
KW  - follicularcyst
KW  - chroniccervicitis
KW  - adenomyosis
AB  - The uterus is a reproductive organ that is susceptible to the development
of several non‐neoplastic and neoplastic diseases in women. Despite a
variety of treatment options, such as medication and conservative
surgical techniques, hysterectomy remains the most common
gynecological procedure performed globally. 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 are the indications for
hysterectomy. Hysterectomy samples must be examined
histopathologically for the final diagnosis. This study is to identify the
various clinical indications, and analyze the clinicopathological correlation
in hysterectomy specimens. This study was conducted in the Department
of Pathology at the Sree Mookambika Institute of Medical Science,
Kanyakumari, from January 2024 to December 2024. All types of
hysterectomy specimens received during this year were examined.
Histopathological examination was performed, and various lesions in the
hysterectomy specimens were examined. The study included all forms of
hysterectomy. An analysis of 55 cases of hysterectomy revealed that
abdominal hysterectomy was the type of hysterectomy in 39 (70.90%)
cases. The proliferative phase endometrium was the most common
endometrial pathology, accounting for 21 (38.18%) cases, followed by the
atrophic endometrium in 17 (30.90%) cases. Leiomyoma was the most
prevalent myometrial lesion, accounting for 26 (47.27%) cases, followed
by adenomyosis, accounting for 11 (20%) cases. Chronic cervicitis was the
most common incidental finding in the hysterectomy samples, accounting
for 42 (76.36%) cases. Follicular cysts, representing 11 (20%) cases, were
the most common ovarian lesions, followed by serous cystadenoma in 3
(5.45%) 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.
Hysterectomy is the most common major gynecological surgery. Although
histological studies and clinical diagnoses are closely correlated, several
lesions, including chronic cervicitis and adenomyosis, were discovered
incidentally.
ER  -