A Descriptive Analysis of Histopathological Lesions in Hysterectomy Specimens at a Tertiary Care Centre in Bihar

Background: Hysterectomy is one of the most commonly performed gynecological surgeries worldwide for both benign and malignant conditions. Histopathological examination of hysterectomy specimens plays a vital role in confirming clinical diagnoses and detecting incidental findings that may impact patient management. Objectives: To evaluate the histopathological spectrum of lesions observed in hysterectomy specimens received at the Department of Pathology, Darbhanga Medical College and Hospital, Darbhanga, Bihar Methods: This descriptive study included 130 hysterectomy specimens received over a 2-years period. Each specimen was thoroughly examined grossly and microscopically. Findings were categorized based on organ involvement and pathological diagnosis. Results: The most common indication for hysterectomy was abnormal uterine bleeding. The predominant lesions observed were leiomyoma (43.8%), adenomyosis (29.2%), and endometrial hyperplasia (10.8%). Malignant lesions were observed in 6.2% of cases, with endometrial and cervical carcinomas being the most frequent. Conclusion: Histopathological evaluation of hysterectomy specimens is essential for accurate diagnosis, therapeutic planning, and detection of unsuspected malignancies.