Pattern of Histopathologically Confirmed Uterine and Ovarian Anomeli Among 98 Hysterectomies Attending a Private Medical College Hospital, Dhaka

Tabassum Sajani, Tanjila Tahmin Sarnali, Md Atiqur Rahman, Shoib Ahmed
In: Anwer Khan Modern Medical College Journal · 2017 · vol. 8(1) , pp. 6–9 · doi:10.3329/akmmcj.v8i1.31651 · W2588504959
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This study examined 98 hysterectomy specimens and found chronic cervicitis and adenomyosis to be the most common pathologies, followed by leiomyoma and endometrial hyperplasia.

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This retrospective study analyzed histopathological findings from 98 hysterectomy specimens collected over six months at a medical college hospital in Dhaka. The results indicated that chronic cervicitis was the most prevalent condition, affecting 80.6% of patients, while adenomyosis and leiomyoma were identified in 32.7% and 23.5% of cases, respectively. The authors emphasize that benign pathologies are significantly more common than malignant ones and assert that routine histological examination is essential for accurate diagnosis after hysterectomy. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Background: Endometrial diseases ranked among the most common gynecological disorders that affect women globally. This study was undertaken to identify the most common pathologies identified in hysterectomy specimens.Materials & Methods: The present study was conducted in the Department of Pathology, Anwer Khan Modern Medical College, Dhaka over a period of 6 months from July to December 2013. Ninety eight (98) hysterectomy specimens were received by the pathology department during this period. On receiving the hysterectomy specimens, the gross features were noted. A detailed microscopic examination was done to arrive at an accurate diagnosis.Result: Most of the women 54% were 40-49 years age group followed by 25% in 30-39 years age group. Chronic cervicitis and adenomyosis were the commonest pathological findings in (80.6%) and (32.7%) respectively. Other pathologies identified include Leiomyoma (23.5%), endometrial hyperplasia (17.4%), endometrial polyp (4.1%) and PID with hemorrhagic infection (1.0%). Two cases of carcinoma cervix (2.0%), two local invasion of tumors (2.0%) and one adenocarcima (1.0%) was found. Type of operation most common is total hysterectomy with oophorectomy (51.0%).Conclusion: Hysterectomy still remains the widely used treatment modality even in developed countries. The ultimate diagnosis is only on histology, so every hysterectomy specimen should be subjected to histopathological examination. Benign pathologies are more common than their malignant counterparts and the most common pathologies identified in hysterectomy specimens are chronic cervicitis, adenomyosis and leiomyoma.Anwer Khan Modern Medical College Journal Vol. 8, No. 1: Jan 2017, P 6-9
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Keywords

Histopathology, Endometrial diseases, cervicitis, adenomyosis, leiomyomaAbstract

Background

Endometrial diseases ranked among the most common gynecological disorders that affect women globally. This study was undertaken to identify the most common pathologies identified in hysterectomy specimens.

Materials

& Methods: The present study was conducted in the Department of Pathology, Anwer Khan Modern Medical College, Dhaka over a period of 6 months from July to December 2013. Ninety eight (98) hysterectomy specimens were received by the pathology department during this period. On receiving the hysterectomy specimens, the gross features were noted. A detailed microscopic examination was done to arrive at an accurate diagnosis.

Result

Most of the women 54% were 40-49 years age group followed by 25% in 30-39 years age group. Chronic cervicitis and adenomyosis were the commonest pathological findings in (80.6%) and (32.7%) respectively. Other pathologies identified include Leiomyoma (23.5%), endometrial hyperplasia (17.4%), endometrial polyp (4.1%) and PID with hemorrhagic infection (1.0%). Two cases of carcinoma cervix (2.0%), two local invasion of tumors (2.0%) and one adenocarcima (1.0%) was found. Type of operation most common is total hysterectomy with oophorectomy (51.0%).

Conclusion

Hysterectomy still remains the widely used treatment modality even in developed countries. The ultimate diagnosis is only on histology, so every hysterectomy specimen should be subjected to histopathological examination. Benign pathologies are more common than their malignant counterparts and the most common pathologies identified in hysterectomy specimens are chronic cervicitis, adenomyosis and leiomyoma. Anwer Khan Modern Medical College Journal Vol. 8, No. 1: Jan 2017, P 6-9 225 246

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adenomyosis

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