Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
There are multiple pathologies of the female reproductive system like fibroid, abnormal uterine bleeding, adenomyosis, chronic cervicitis, prolapse uterus and malignant lesions of the uterus and adnexa for which hysterectomy is the definitive treatment. Hysterectomy is the most commonly performed gynecological surgery in India as well as abroad. The main aim of our study is to retrospective correlation between histopathological diagnosis with its clinical diagnosis and to observe different pathology of disease in hysterectomy specimens. This is a retrospective study conducted in Rama Hospital and Research Centre, Hapur. In this study, we included 250 hysterectomy specimens received over the last 12 months. Patient data was retrieved from the medical records and histopathological requisition forms which included age, symptoms, pre‐operative clinical diagnosis, an indication of hysterectomy, type of hysterectomy done and histopathological diagnosis. Histopathological findings from the cervix, endometrium, myometrium, ovaries and fallopian tubes of every hysterectomy specimen were noted. In our study, it was observed that a maximum number of cases were in the age group of 35‐45 years (40.8%, n = 102) followed by the age group of 45‐55 years (35.2%, n = 88). Abdominal hysterectomy (89.6%, n = 224) was the most common route of surgery. The most common preoperative diagnosis was abnormal uterine bleeding (50.4%) followed by fibroid uterus (19.2%) chronic cervicitis (25.6%) and chronic pelvic pain (18.4%). Among pathologies on histology, adenomyosis (86.4%) was the most common which was followed by chronic cervicitis (74.4%) leiomyoma (22.4%) and atrophic endometrium (8.8%). Uterine adenomyosis and chronic cervicitis are the most common benign conditions found in hysterectomy specimens with peak incidence at 31‐50 years. Histopathology is mandatory for confirming diagnosis and is the key to effective therapy and optimal outcomes. Histopathology, Endometrium, Myometrium, Hysterectomy.
How to cite this article:
Surabhi Katyal, Venu Gupta and Shiv Kumar Singh. Histopathological Spectrum of Hysterectomy Specimens and their Clinicopathological Correlations at a Tertiary Care Centre.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.8.186.189
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.8.186.189