The Evaluation of Preoperative and Histopathologic Diagnosis in Specimens of Hysterectomy Performed for Benign Conditions

In: Journal of Surgery · 2014 · vol. 2(1) , pp. 11 · doi:10.11648/j.js.20140201.14 · W1979599122
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This study retrospectively analyzed 32 hysterectomy cases for benign conditions, finding leiomyoma, adenomyosis, and endometrial hyperplasia as most common diagnoses and recommending endometrial sampling due to frequent co-occurrence with myoma.

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This retrospective study evaluated 32 hysterectomy cases performed between January 2011 and December 2012 for benign indications by reviewing preoperative indications and corresponding histopathological diagnoses. The most common indications were abnormal uterine bleeding, myoma uteri, and endometrial hyperplasia, with other reported indications including adenomyosis and uterine prolapse; histopathology most frequently showed leiomyoma, adenomyosis, and endometrial hyperplasia. The authors noted a high coincidence of myoma uteri and endometrial hyperplasia and stated that endometrial sampling should be performed in patients considered for hysterectomy, with adenomyosis and endometrial polyp/atrophy and chronic cervicitis also identified. Relevance to endometriosis: the paper includes adenomyosis among both clinical indications and histopathological findings in hysterectomy specimens, which is closely related to endometriosis research within the corpus.

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Abstract

The aim of this study is to evaluate hysterectomy procedures performed for benign conditions in terms of indications and histopatho-logical results. Retrospective analysis of 32 hysterectomy cases, which were performed between January 2011 and Decem-ber 2012, was conducted to review indications and histo-pathological diagnoses. The most frequent indications for hysterectomy were abnormal uterine bleeding myoma uteri and endometrial hyperplasia, respectively. Other clinical indications were adenomyosis and uterine prolapse .The most common histopathological diagnoses reported for hysterectomy specimens were leiomyoma adenomyosis and endometrial hyperplasia respecti-vely. Endometrial polyp was diagnosed in specimens of patients. Endometrial atrophy was reported in patients. Cervical histopathology of hysterectomy materials revealed chronic cervicitis in of the patients. Due to the high coincidence of myoma uteri and endometrial hyperplasia, endometrial sampling should be performed in patients who are being considered for hysterectomy.
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Abstract

The aim of this study is to evaluate hysterectomy procedures performed for benign conditions in terms of indications and histopatho-logical results. Retrospective analysis of 32 hysterectomy cases, which were performed between January 2011 and Decem-ber 2012, was conducted to review indications and histo-pathological diagnoses. The most frequent indications for hysterectomy were abnormal uterine bleeding myoma uteri and endometrial hyperplasia, respectively. Other clinical indications were adenomyosis and uterine prolapse .The most common histopathological diagnoses reported for hysterectomy specimens were leiomyoma adenomyosis and endometrial hyperplasia respecti-vely. Endometrial polyp was diagnosed in specimens of patients. Endometrial atrophy was reported in patients. Cervical histopathology of hysterectomy materials revealed chronic cervicitis in of the patients. Due to the high coincidence of myoma uteri and endometrial hyperplasia, endometrial sampling should be performed in patients who are being considered for hysterectomy. | Published in | Journal of Surgery (Volume 2, Issue 1) | | DOI | 10.11648/j.js.20140201.14 | | Page(s) | 11-13 | | Creative Commons | This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. | | Copyright | Copyright © The Author(s), 2014. Published by Science Publishing Group |

Keywords

Hysterectomy, Benign Diseases, Pathological Evaluation

References

| [1] | National Collaborating Centre for Women's and Children's Health (UK). Heavy Menstrual Bleeding. London: RCOG Press; 2007 Jan. (NICE Clinical Guidelines, No. 44.) 12, Hysterectomy. Available from: http://www.ncbi.nlm.nih.gov/books/NBK56535/ | | [2] | Isaoğlu U.The Evaluation of Histopathologic Diagnosis in Specimens of Hysterectomy.Abant Med J. 2013; 2(2):91-943 | | [3] | Surgical approach to hysterectomy for benign gynaecological disease. Nieboer T. DOI: 10.1002/14651858.CD003677.pub3) | | [4] | Moutinho JAF,Barbosa LG,Torres DG,Nunes SM. Abnormal uterine bleeding as a presenting symptom is related to multiple uterine leiomyoma: an ultrasound-based study.Int J Womens Health. 2013; 5: 689–694. | | [5] | Buttram VC, Jr, Reiter RC. Uterine leiomyoma: etiology, symptomatology and management. Fertil Steril. 1981;36:433–445. | | [6] | Haney AF. Clinical decision making regarding leiomyomata: what we need in the next millennium. Environ Health Perspect. 2000;108(Suppl 5):835–839. | | [7] | Lepine LA, Hillis SD, Marchbanks PA, Koonin LM, Mor-row B, Kieke BA, Wilcox LS. Hysterectomy surveillance- United States 1980-1997. MMWR 1997; 46: 1-15. | | [8] | Cramer SF, Patel A. The frequency of uterine leiomyo-mas. Am J Clin Pathol 1990; 94: 435-8. | | [9] | Dinçgez B, Coşkun Eİ, Ayanoğlu YT. Kliniğimizde gerçekleştirilen histerektomi olgularının değerlendirilmesi. Şişli Etfal Hastanesi Tıp Bülteni 2011; 45: 35-8. | | [10] | Rizvi G,Pandey H,Pant H,Chufal SS,Pant P. Histopathological correlation of adenomyosis and leiomyoma in hysterectomy specimens as the cause of abnormal uterine bleeding in women in different age groups in the Kumaon region: A retroprospective study.J Midlife Health. 2013 Jan-Mar; 4(1): 27–30. | | [11] | Ojeda VJ. The pathology of hysterectomy specimens. Z Med J 1979; 89: 169-71. | | [12] | Atılgan R, Boztosun A, Ozercan MR. Histerektomi materyallerinde histopatolojik tanıların insidansı. Fırat Tıp Dergisi 2012; 17: 19-229. | | [13] | Kunz G, Beil D, Huppert P, Noe M, Kissler S, Leyen-decker G. Adenomyosis in endometriosis prevalence and impact on fertility. Evidence from magnetic resonance imaging. Hum Reprod 2005; 20: 2309-16. | | [14] | Çakmak B, Özsoy Z, Hısım Y, Nacar M, Metin FZ, Demirtürk F. Benign endikasyonlar nedeniyle uygulanan histerektomi materyallerinde adenomyozis sıklığı. Çağdaş Tıp Dergisi 2012; 2: 158-161. | | [15] | Reed SD, Newton, KM; Clinton WL, et al. Incidence of endometrial hyperplasia. Am J Obstet Gynecol 2009;200:678.e1-678.e6. | | [16] | Shegill SK, Shergill HK. Clinicopathological study of hysterectomies. J Indian Med Assoc 2002; 100: 238 | Cite This Article - APA Style Ozan Turgut, Serdar Yanık, Aybala Agac Ay, Isin Gencay, Sümeyra Nergiz, et al. (2014). The Evaluation of Preoperative and Histopathologic Diagnosis in Specimens of Hysterectomy Performed for Benign Conditions. Journal of Surgery, 2(1), 11-13. https://doi.org/10.11648/j.js.20140201.14 ACS Style Ozan Turgut; Serdar Yanık; Aybala Agac Ay; Isin Gencay; Sümeyra Nergiz, et al. The Evaluation of Preoperative and Histopathologic Diagnosis in Specimens of Hysterectomy Performed for Benign Conditions. J. Surg. 2014, 2(1), 11-13. doi: 10.11648/j.js.20140201.14 AMA Style Ozan Turgut, Serdar Yanık, Aybala Agac Ay, Isin Gencay, Sümeyra Nergiz, et al. The Evaluation of Preoperative and Histopathologic Diagnosis in Specimens of Hysterectomy Performed for Benign Conditions. J Surg. 2014;2(1):11-13. doi: 10.11648/j.js.20140201.14 - @article{10.11648/j.js.20140201.14, author = {Ozan Turgut and Serdar Yanık and Aybala Agac Ay and Isin Gencay and Sümeyra Nergiz and Ahmet Ay and Oktay Aydin}, title = {The Evaluation of Preoperative and Histopathologic Diagnosis in Specimens of Hysterectomy Performed for Benign Conditions}, journal = {Journal of Surgery}, volume = {2}, number = {1}, pages = {11-13}, doi = {10.11648/j.js.20140201.14}, url = {https://doi.org/10.11648/j.js.20140201.14}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20140201.14}, abstract = {The aim of this study is to evaluate hysterectomy procedures performed for benign conditions in terms of indications and histopatho-logical results. Retrospective analysis of 32 hysterectomy cases, which were performed between January 2011 and Decem-ber 2012, was conducted to review indications and histo-pathological diagnoses. The most frequent indications for hysterectomy were abnormal uterine bleeding myoma uteri and endometrial hyperplasia, respectively. Other clinical indications were adenomyosis and uterine prolapse .The most common histopathological diagnoses reported for hysterectomy specimens were leiomyoma adenomyosis and endometrial hyperplasia respecti-vely. Endometrial polyp was diagnosed in specimens of patients. Endometrial atrophy was reported in patients. Cervical histopathology of hysterectomy materials revealed chronic cervicitis in of the patients. Due to the high coincidence of myoma uteri and endometrial hyperplasia, endometrial sampling should be performed in patients who are being considered for hysterectomy.}, year = {2014} } - TY - JOUR T1 - The Evaluation of Preoperative and Histopathologic Diagnosis in Specimens of Hysterectomy Performed for Benign Conditions AU - Ozan Turgut AU - Serdar Yanık AU - Aybala Agac Ay AU - Isin Gencay AU - Sümeyra Nergiz AU - Ahmet Ay AU - Oktay Aydin Y1 - 2014/02/20 PY - 2014 N1 - https://doi.org/10.11648/j.js.20140201.14 DO - 10.11648/j.js.20140201.14 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 11 EP - 13 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20140201.14 AB - The aim of this study is to evaluate hysterectomy procedures performed for benign conditions in terms of indications and histopatho-logical results. Retrospective analysis of 32 hysterectomy cases, which were performed between January 2011 and Decem-ber 2012, was conducted to review indications and histo-pathological diagnoses. The most frequent indications for hysterectomy were abnormal uterine bleeding myoma uteri and endometrial hyperplasia, respectively. Other clinical indications were adenomyosis and uterine prolapse .The most common histopathological diagnoses reported for hysterectomy specimens were leiomyoma adenomyosis and endometrial hyperplasia respecti-vely. Endometrial polyp was diagnosed in specimens of patients. Endometrial atrophy was reported in patients. Cervical histopathology of hysterectomy materials revealed chronic cervicitis in of the patients. Due to the high coincidence of myoma uteri and endometrial hyperplasia, endometrial sampling should be performed in patients who are being considered for hysterectomy. VL - 2 IS - 1 ER - Author Information Copyright © 2012 -- 2026 Science Publishing Group – All rights reserved.

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adenomyosis

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References (21)

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