Histopathology diagnosis in women who underwent a hysterectomy for a benign condition.

Night Afridi, Amna Fareed, Saira Nazeer, Saifullah Khan, Shah Gul Khan
In: The Professional Medical Journal · 2020 · vol. 27(04) , pp. 721–724 · doi:10.29309/tpmj/2020.27.04.3427 · W3015034874
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This retrospective study found adenomyosis was the most common histopathological diagnosis in 430 women undergoing hysterectomy for benign conditions, significantly associated with parity, hysterectomy type, marital status, and occupation.

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This retrospective study assessed histopathological diagnoses in 430 women who underwent hysterectomy for benign indications at a tertiary care hospital over a 6-month period, using chart review and statistical comparisons (chi-square and correlations). The most common presenting complaint was irregular bleeding, and the most frequent histopathological finding was adenomyosis (49.8%), followed by leiomyoma (15.3%), with clinical and histopathological diagnoses showing significant correlation (r=0.7). The authors reported that histopathological findings were significantly associated with parity, hysterectomy type, marital status, and occupation, but the paper’s main limitation is the reliance on retrospective data from a single center and the short collection window (July 2018–December 2019). This paper is centrally about adenomyosis—specifically identifying its highest frequency among hysterectomy specimens for benign conditions.

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Abstract

Objectives: To determine frequency of histopathological diagnosis in women who underwent hysterectomy for benign condition in tertiary care hospital. Study Design: Retrospective study. Setting: Department of Gynecology and Obstetrics, CMH Nowshera. Period: 6 months (July 2018 December 2019). Material & Methods: Data of all hysterectomies underwent in last 3 years was reviewed. Ethical approval was taken from ethical review board. Patients undergone hysterectomy with benign condition were included in study. Data was analyzed using SPSS version 24. Chi-square and correlation test was performed. P value ≤0.05 was considered significant. Results: Total 430 cases were included in study. Mean age of women was 37.1 years± 8.2 SD. Most common complaints was irregular bleeding 123(28.6%) following dysmenorrhea 78(18.1%). Most common histopathological finding was adenomyosis 214(49.8%), following leiomyoma 66(15.3%). Histopathological findings were significantly associated parity (p=0.000), type of hysterectomy (p=0.000), marital status (p=0.000) and occupation (p=0.000). Significant correlation between clinical diagnosis and histopathological finding was found (r= 0.7, p=0.00). Conclusion: Hysterectomy is most common surgical modality in gynecology. Adenomyosis is most common histopathological finding in patients undergone hysterectomy for benign condition. All hysterectomy specimens should be subjected to pre-operative and post-operative histopathological examination for accurate diagnosis and management in benign conditions.
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Histopathology diagnosis in women who underwent a hysterectomy for a benign condition. DOI: https://doi.org/10.29309/TPMJ/2020.27.04.3427Keywords: Benign Condition, Histopathological Diagnosis, HysterectomyAbstract Objectives: To determine frequency of histopathological diagnosis in women who underwent hysterectomy for benign condition in tertiary care hospital. Study Design: Retrospective study. Setting: Department of Gynecology and Obstetrics, CMH Nowshera. Period: 6 months (July 2018 December 2019). Material & Methods: Data of all hysterectomies underwent in last 3 years was reviewed. Ethical approval was taken from ethical review board. Patients undergone hysterectomy with benign condition were included in study. Data was analyzed using SPSS version 24. Chi-square and correlation test was performed. P value ≤0.05 was considered significant. Results: Total 430 cases were included in study. Mean age of women was 37.1 years± 8.2 SD. Most common complaints was irregular bleeding 123(28.6%) following dysmenorrhea 78(18.1%). Most common histopathological finding was adenomyosis 214(49.8%), following leiomyoma 66(15.3%). Histopathological findings were significantly associated parity (p=0.000), type of hysterectomy (p=0.000), marital status (p=0.000) and occupation (p=0.000). Significant correlation between clinical diagnosis and histopathological finding was found (r= 0.7, p=0.00). Conclusion: Hysterectomy is most common surgical modality in gynecology. Adenomyosis is most common histopathological finding in patients undergone hysterectomy for benign condition. All hysterectomy specimens should be subjected to pre-operative and post-operative histopathological examination for accurate diagnosis and management in benign conditions.

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