Histopathological analysis of hysterectomy specimens in a tertiary care centre: study of 160 cases

Authors

  • Roopali Jandial Department of Pathology, Government Medical College, Jammu, Jammu and Kashmir, India
  • Mehnaz Choudhary Department of Pathology, Government Medical College, Jammu, Jammu and Kashmir, India
  • Kuldeep Singh Department of Pathology, Government Medical College, Jammu, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2349-2902.isj20193330

Keywords:

Cervix, Endometrium, Hysterectomy, Myometrium

Abstract

Background: Hysterectomy is the most commonly performed gynaecological surgery as the female reproductive system has been affected by various non-neoplastic and neoplastic conditions during the life time of a woman.

Methods: This retrospective study was conducted on 160 hysterectomy specimens reported to Department of Pathology. They were compared in terms of age of the patients and pathology of hysterectomy specimens. The histopathological findings of hysterectomy specimens was noted and these findings were then correlated with clinical diagnosis. The aim of the study was to evaluate the wide range of pathological lesions, commonest pathology involved and correlation of the preoperative clinical diagnosis with the histopathological diagnosis in the hysterectomy specimens.

Results: The most common type of hysterectomy was total abdominal hysterectomy with bilateral salpingo-ophorectomy with 102 cases (63.7%). Peak incidence at 5th decade of life in 92 cases (57.5%) was noted. The most common clinical indication was fibroid uterus in 81 cases (50.6%). Proliferative phase of endometrium was the commonest finding in 87 cases (54.3%). In case of myometrium, 95 leiomyomas were noted. On histomorphological study of cervical lesions, chronic cervicitis was commonest finding in 75 (46.8%) cases.

Conclusions: Few double pathologies can be missed clinically so clinico-pathological correlation in all cases of hysterectomy has been proved to be important to improve the clinical outcome and post-operative management.

References

Qamar-ur-Nisa. Hysterectomies, an audit at a tertiary care hospital. Professional Med J. 2011;18(1):45-50.

Kjerulff KH, Erickson BA, Langenberg PW. Chronic gynecological conditions reported by US women: findings from the National Health Interview Survey, 1984 to 1992. Am J Public Health. 1996;86(2):195-9.

Patil HA, Patil A, Mahajan SV. Histopathological findings in uterus and cervix of hysterectomy specimens. MVP J Med Sci. 2015;2(1):26-9.

Watts WF, Kimbrough RA. Hysterectomy Analysis of 1000 consecutive operations. Obstet Gynecol. 1956;7(5):483-93.

Sarfraz T, Tariq H. Histopathological findings in menorrhagia: a study of 100 hysterectomy specimens. Pak J Pathol. 2005;16(3):83-5.

Dicker RC, Seally MJ, Greenspan JR. Hysterectomy among women of reproductive age trends in United States. JAMA. 1990;248:328-35.

Ajmera SK, Mettler L, Jonat W. Operative spectrum of hysterectomy in a German University hospital, a retrospective analysis. J Obstet Gynaecol India. 2006;56(1):59-63.

Domblae V, Gundalli S. Histopathological analysis of uterine lesions in hysterectomy specimens. Int J Sci Res. ISSN(Online):2319-7064.

Archana B, Michelle F. Evaluation and histopathological correlation of abnormal uterine bleeding in perimenopausal women. Bombay Hospital J. 2010;52(1):69-72.

Shakira P, Subhana T. A clinicopathological review of elective abdominal hysterectomy. J Surg Pakistan. 2008;13(1):26-9.

Sobande AA, Eskander M, Archibong EI, Damole IO. Elective hysterectomy: a clinicopathological review from Abha catchment area of Saudi Arabia. WAJM. 2005;24(1):31-5.

Khunte VP. Spectrum of Lesions in Hysterectomy specimens. J Cont Med A Dent. 2017;5(3):29.

Verma D, Singh P, Kulshrestha R. Analysis of histopathological examination of the hysterectomy specimens in a north Indian teaching institute. Int J Res Med Sci. 2016;4(11):4753-8

Downloads

Published

2019-07-25

Issue

Section

Original Research Articles