Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
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.
How to cite this article:
M. Karthika Harini and Jesu Thangam. Histopathological Analysis of Hysterectomy Specimens in A Tertiary Care Centre: A Retrospective Study.
DOI: https://doi.org/10.36478/makrjms.2024.11.837.842
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.11.837.842