A retrospective clinico-pathological study of hysterectomy cases in a tertiary care hospital in India – a review of 950 cases.

Subrata Pal, Chakrabarti Srabani, S Anuradha, Phukan Jyoti Prakash, Bose Kingshuk, Sikder Mrinal
In: Bangladesh Journal of Medical Science · 2018 · vol. 17(1) , pp. 88–92 · doi:10.3329/bjms.v17i1.35287 · W2783304231
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This retrospective study of 950 hysterectomy cases found abdominal hysterectomy was most common, with leiomyoma and adenomyosis being the most frequent histopathological findings, and correlated clinical diagnoses with these findings.

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This retrospective clinico-pathological study reviewed 950 hysterectomy cases from a tertiary care hospital in India over a 2-year period, collecting preoperative clinical diagnoses and correlating them with histopathological findings from routine laboratory records. The most common surgical approach was abdominal hysterectomy (77.26%), and the most frequent preoperative indications included fibroid uterus (32%), dysfunctional uterine bleeding (28.95%), and uterine prolapse (22.74%). On histology, leiomyoma (32%) and adenomyosis (20.32%) were among the most common diagnoses, and clinical diagnosis aligned with histopathology in 67.57% of cases; the study’s major limitation is its retrospective, single-center design based on recorded provisional diagnoses and specimen pathology. This paper is centrally about endometriosis and/or adenomyosis — it reports the incidence of adenomyosis among hysterectomy specimens and correlates preoperative diagnoses with histopathological confirmation relevant to adenomyosis.

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Abstract

Introduction: Hysterectomy is the most commonly performed gynaecological surgery in India as well as in abroad. It is frequently done in myometrial and endometrial pathologies and rarely for other causes. Hysterectomy is definitive management for diseases like fibroid, adenomyosis, dysfunctional bleeding, prolapsed uterus and malignant lesions of uterus and adenexa. We aimed our study to observe incidence of different pathologies of uterus and other reproductive organs in hysterectomy specimens and retrospective correlation between clinical diagnosis and histopathological finding of hysterectomy cases.Materials and Methods: Retrospective data were collected from our routine histopathological laboratory. Detailed history, clinical examination and operative findings and provisional diagnosis of all 950 hysterectomy cases were recorded during study period of 2 years. Histopathological diagnosis was correlated with clinical and preoperative diagnosis.Observations: Abdominal hysterectomy (734 cases, 77.26%) was the most common route of approach during surgery. Common pre-operative diagnoses were fibroid uterus (32%), dysfunctional uterine bleeding (28.95%), uterine prolapsed (22.74%). Other causes included uterine polyps (1.6%), complications of pregnancy (2.74%), ovarian tumours (8.42%), cervical carcinomas (2.97%) etc. Common pathologies on histology were leiomyoma (32%), adenomyosis (20.32%), atrophic endometrium (17.26%) and endometrial pathology (8.95%).Discussion: Our study has been correlated with other studies of India and other south Asian countries. Most common indication of hysterectomy in our study is dysfunctional uterine bleeding (32%) but Gupta et al and Jha R et al found utero-vaginal prolapse as most common indication. Leiomyoma was the most common histology diagnosed in the present series. Clinical diagnosis was possible in 67.57% cases in our study similar to Khan et al (70.51%).Conclusions: Histopathological examination of hysterectomy specimens helps to detect the exact causes and underlined pathology.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.88-92
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Introduction

Hysterectomy is the most commonly performed gynaecological surgery in India as well as in abroad. It is frequently done in myometrial and endometrial pathologies and rarely for other causes. Hysterectomy is definitive management for diseases like fibroid, adenomyosis, dysfunctional bleeding, prolapsed uterus and malignant lesions of uterus and adenexa. We aimed our study to observe incidence of different pathologies of uterus and other reproductive organs in hysterectomy specimens and retrospective correlation between clinical diagnosis and histopathological finding of hysterectomy cases.

Materials and methods

Retrospective data were collected from our routine histopathological laboratory. Detailed history, clinical examination and operative findings and provisional diagnosis of all 950 hysterectomy cases were recorded during study period of 2 years. Histopathological diagnosis was correlated with clinical and preoperative diagnosis. Observations: Abdominal hysterectomy (734 cases, 77.26%) was the most common route of approach during surgery. Common pre-operative diagnoses were fibroid uterus (32%), dysfunctional uterine bleeding (28.95%), uterine prolapsed (22.74%). Other causes included uterine polyps (1.6%), complications of pregnancy (2.74%), ovarian tumours (8.42%), cervical carcinomas (2.97%) etc. Common pathologies on histology were leiomyoma (32%), adenomyosis (20.32%), atrophic endometrium (17.26%) and endometrial pathology (8.95%).

Discussion

Our study has been correlated with other studies of India and other south Asian countries. Most common indication of hysterectomy in our study is dysfunctional uterine bleeding (32%) but Gupta et al and Jha R et al found utero-vaginal prolapse as most common indication. Leiomyoma was the most common histology diagnosed in the present series. Clinical diagnosis was possible in 67.57% cases in our study similar to Khan et al (70.51%).

Conclusions

Histopathological examination of hysterectomy specimens helps to detect the exact causes and underlined pathology. Bangladesh Journal of Medical Science Vol.17(1) 2018 p.88-92 Downloads 218 258 Downloads Published How to Cite Issue Section License Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that: - Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work. Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.- Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. - Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.

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