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  3. 11. Histopathological Spectrum of Lesions of Hysterectomy Specimens
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11. Histopathological Spectrum of Lesions of Hysterectomy Specimens

Mariam Riaz1, Bibi Sara2, Abdul Haseeb Khan1, Fazl-e-Raziq1 and Nargis Danish1

ABSTRACT

Objective: To assess the range of pathological lesions in the hysterectomy specimens and correlate the findings with the clinical indications.

Study Design: Observational study 

Place and Duration of study: This study was conducted at the Department of Pathology, Women Medical College Abbottabad and Department of Gynaecology and Obstetrics, Women and Children Teaching Hospital Abbottabad from Jan 2013 to Dec 2015. 

Materials and Methods: All cases of hysterectomy sent to the Histopathology Department were included in the study. Data regarding patient characteristics and indications were collected from files and patients records. The slides stained with hematoxylin and eosin were examined. Pathological findings in the uterus, cervixand ovaries were noted. The results were analysed by using percentages. 

Results: Total of 110 hysterectomy specimens were received. The commonest type of hysterectomy was Total abdominal hysterectomy with bilateral salpingo-oophorectomy with 59 cases (53.6%). Mean age of patients was 46 years ranging from 35 - 67 years. Most common preoperative diagnosis was fibroid uterus in 38 cases (34.5%) followed by dysfunctional uterine bleeding in 34 cases (30.9%). Most common pathology found in uterine corpus was Leimyoma (36.3%) followed by adenomyosis (19%) and endometrial hyperplasia (11.8%). Chronic cervicitis in cervix and functional cysts in ovaries were most common histological findings. Ovarian neoplasms accounted for 14% of ovarian pathology.67.6% of cases pre-operatively diagnosed as DUB had a defined pathology like adenomyosis, leiomyoma or both, endometrial polyps and endometritis

Conclusion: Uterine fibroids and adenomyosis were the most common benign lesions. Justification of hysterectomy is proved when the Histopathology report is compatible with the preoperative diagnosis. All hysterectomy specimens should be sent for histopathological examination regardless of the pre-operative microscopic assessment. Key Words: Hysterectomies, Indication, Pathology

Citation of article: Riaz M, Sara B, Khan AH, Raziq F, Danish N. Histopathological Spectrum of Lesions of Hysterectomy Specimens. Med Forum 2017;28(2):41-45.