Clinicopathological study of hysterectomised specimens

A. Saravana, Shashikala B. Patil, Savitha S. Patil
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2016 · vol. 6(1) , pp. 246 · doi:10.18203/2320-1770.ijrcog20164667 · W2563748217
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This study reviewed 113 hysterectomy specimens, finding that fibroid uterus was the most common indication and histopathological diagnosis, followed by adenomyosis, with most procedures performed vaginally.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This retrospective clinicopathological study analyzed 113 hysterectomized cases from June 2015 to May 2016, reviewing age, parity, preoperative clinical diagnosis, hysterectomy route (vaginal versus abdominal), and corresponding histopathological findings from existing records. Hysterectomies were most commonly performed via the vaginal route (86; 76.1%), and the most frequent clinical indication was fibroid uterus (44; 38.9%); the dominant histopathological diagnosis was also fibroid uterus (45; 39.8%), with good correlation between clinical and final pathology in most cases. Adenomyosis was reported as the next most common histopathological finding. This paper is centrally about adenomyosis and endometriosis only insofar as it identifies adenomyosis among histopathological diagnoses and includes both conditions in its stated list of hysterectomy indications.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Background: Hysterectomy is the commonest major surgical procedure performed in gynecology. It can be done by abdominal or vaginal route and with the help of laparoscopy. Hysterectomy is an effective treatment option for many conditions like fibroid, abnormal uterine bleeding, endometriosis, adenomyosis, uterine prolapse, pelvic inflammatory disease and cancer of reproductive organ when other treatment options are contraindicated or have failed, or if the woman no longer wishes to retain her menstrual and reproductive. The aim and objective of the study was to correlate indications of hysterectomy with histopathological findings in hysterectomised patients.Methods: A retrospective study was carried on 113 hysterectomised cases over a period of one year from June 2015 to May 2016. The data regarding the patient’s age, parity, clinical diagnosis, type of hysterectomy and histopathological diagnosis were reviewed by the records and analyzed.Results: A total of 113 cases of hysterectomies were studied. Hysterectomies were distributed over a wide age ranging from 20 years to 75 years. Most common age group was 41-50 years. Among hystectomies majority were done through vaginal route 86 (76.1%) and 26 (23%) cases were done through abdominal route. Most common clinical diagnosis was fibroid uterus in 44(38.9%) cases. Most of the hysterectomies were done for benign conditions. In final histopathological report most common diagnosis was fibroid uterus in 45(39.8%) hysterectomy specimens. It was correlated well with clinical diagnosis. Next most common histopathological diagnosis was Adenomyosis.Conclusions: Histopathological analysis correlated well with preoperative clinical diagnosis in majority of cases. The commonest indication and histopathological finding in our study was fibroid uterus. Next most common histopathological finding was Adenomyosis. Most commonly hysterectomies were done through vaginal route in our study.
Full text 2,941 characters · extracted from oa-doi-fallback · 5 sections · click to expand

Background

Hysterectomy is the commonest major surgical procedure performed in gynecology. It can be done by abdominal or vaginal route and with the help of laparoscopy. Hysterectomy is an effective treatment option for many conditions like fibroid, abnormal uterine bleeding, endometriosis, adenomyosis, uterine prolapse, pelvic inflammatory disease and cancer of reproductive organ when other treatment options are contraindicated or have failed, or if the woman no longer wishes to retain her menstrual and reproductive. The aim and objective of the study was to correlate indications of hysterectomy with histopathological findings in hysterectomised patients.

Methods

A retrospective study was carried on 113 hysterectomised cases over a period of one year from June 2015 to May 2016. The data regarding the patient’s age, parity, clinical diagnosis, type of hysterectomy and histopathological diagnosis were reviewed by the records and analyzed.

Results

A total of 113 cases of hysterectomies were studied. Hysterectomies were distributed over a wide age ranging from 20 years to 75 years. Most common age group was 41-50 years. Among hystectomies majority were done through vaginal route 86 (76.1%) and 26 (23%) cases were done through abdominal route. Most common clinical diagnosis was fibroid uterus in 44(38.9%) cases. Most of the hysterectomies were done for benign conditions. In final histopathological report most common diagnosis was fibroid uterus in 45(39.8%) hysterectomy specimens. It was correlated well with clinical diagnosis. Next most common histopathological diagnosis was Adenomyosis.

Conclusions

Histopathological analysis correlated well with preoperative clinical diagnosis in majority of cases. The commonest indication and histopathological finding in our study was fibroid uterus. Next most common histopathological finding was Adenomyosis. Most commonly hysterectomies were done through vaginal route in our study. Metrics

References

Choosing the route for hysterectomy for benign disease. ACOG committee opinion. The American college of obstetricians and Gynecologists. 2009:444. Begum J, Talukder SI, Hossain MA. A two years audit of complications of total abdominal hysterectomy at Dinajpur Medical College Hospital Dinajpur. Med Col J. 2008;1(1):14-7. Whiteman MK, Hillis SD, Jamieson D. Inpatient hysterectomy surveillance in the United States, 2000-2004. Am J Obstet Gynecol. 2008:31-37. Shergill SK, Shergill HK, Gupta M, Kaur S. Clinicopathological study of hysterectomies. J Indian Med Assoc. 2002;100(4):238-9, 246. Schwarz R. choice of surgical route in hysterectomy: Gynekol Rundsch. 1990;30(4):248-52. Del Frat G, Soligo M. Vaginal and abdominal hysterectomy: comparison and perspectives: Minerva Gynaecology. 1996;48(5):181-91.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisadenomyosis

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (1)

References (3)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK