Pattern of Uterine and Cervical Lesions Marked on Histopathological Examination of Hysterectomy Specimens

Henna Khalid, Mariam Riaz, Momina Khadija Abbasi, Bushra Adeel, Sadia Shoukat, Reema Fateh
In: Pakistan Journal of Medical and Health Sciences · 2022 · vol. 16(10) , pp. 997–999 · doi:10.53350/pjmhs221610997 · W4312126836
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This retrospective study analyzed 80 hysterectomy specimens, finding leiomyoma and cervicitis to be the most common uterine and cervical lesions, respectively.

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This retrospective study analyzed histopathological findings from 80 hysterectomy specimens collected over one year to determine the prevalence of uterine and cervical lesions. The results indicated that leiomyoma was the most common benign uterine lesion, occurring in 55% of cases, while adenomyosis was present in 9% of patients and combined with leiomyoma in an additional 18.5%. Cervical pathologies were dominated by cervicitis at 62%, with dysplasia accounting for 21% of cases, and the majority of affected patients fell within the 41-60 age range. Relevance to endometriosis: Adenomyosis is listed as a key finding alongside leiomyoma, representing a closely related condition often studied in the context of uterine pathology.

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Abstract

Background: In Gynecology, most of the knowledge circles around the female reproductive tract and uterus has been a vital organ playing central role in female reproductive life cycle both in terms of menstrual and ostereous cycles. Uterus is subjected to both mechanical and hormonal stresses so uterine pathologies and diseases are the most common pathologies marked in female reproductive systems. These pathologies range from benign uterine pathology to malignancy in many cases. Most of the uterine and cervical pathologies are diagnosed after hysterectomy on histopathological examination only. Objective: The study was carried out to see histopathological patterns of uterine and cervical lesions in hysterectomy specimens. Study Design: Histopathology department of Women Medical and Dental College, Abbottabad from August 2021 to August 2022. Materials and Methods: It was a retrospective study done on hysterectomy samples findings in histopathological examination of uterine and cervical area on 80 specimens over a 1 year period. SPSS latest version was used for DATA. Results: 80 patients were included based on histopathological reports of the post hysterectomy specimens. Age of patients lies 60 years. Majority of the cases were between 41-50 years and 51-60 years of the age while patients between 41-50 years age group were 50 %,adenomyosis (09%), atrophied uterus (5%), Hyperplasia (10%), leiomyoma with adenomyosis (18.5%), Leiomyoma (55%) and leimyosarcoma (2.5%),while cervical pathologies show cervicitis, (62%), cervical dysplasia (21%), cervicitis (papillary) in 07 %, and 10% cases were normal. Different uterine lesions based on the age of the patients show that Leiomyoma is maximally found in patients between 46-60 years and above 60 years of patients and only two cases were marked below 30 Years. Conclusion: The commonest benign lesion was leiomyoma in uterus followed by adenomyosis combined with leiomyoma, while in cervical canal commonest finding was cervicitis in Hysterectomy specimen. Keywords: Adenomyosis, Histopathology, Hysterectomy, Leiomyoma, Cervicitis.
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Background

In Gynecology, most of the knowledge circles around the female reproductive tract and uterus has been a vital organ playing central role in female reproductive life cycle both in terms of menstrual and ostereous cycles. Uterus is subjected to both mechanical and hormonal stresses so uterine pathologies and diseases are the most common pathologies marked in female reproductive systems. These pathologies range from benign uterine pathology to malignancy in many cases. Most of the uterine and cervical pathologies are diagnosed after hysterectomy on histopathological examination only.

Objective

The study was carried out to see histopathological patterns of uterine and cervical lesions in hysterectomy specimens. Study Design: Histopathology department of Women Medical and Dental College, Abbottabad from August 2021 to August 2022.

Materials and methods

It was a retrospective study done on hysterectomy samples findings in histopathological examination of uterine and cervical area on 80 specimens over a 1 year period. SPSS latest version was used for DATA.

Results

80 patients were included based on histopathological reports of the post hysterectomy specimens. Age of patients lies 60 years. Majority of the cases were between 41-50 years and 51-60 years of the age while patients between 41-50 years age group were 50 %,adenomyosis (09%), atrophied uterus (5%), Hyperplasia (10%), leiomyoma with adenomyosis (18.5%), Leiomyoma (55%) and leimyosarcoma (2.5%),while cervical pathologies show cervicitis, (62%), cervical dysplasia (21%), cervicitis (papillary) in 07 %, and 10% cases were normal. Different uterine lesions based on the age of the patients show that Leiomyoma is maximally found in patients between 46-60 years and above 60 years of patients and only two cases were marked below 30 Years.

Conclusion

The commonest benign lesion was leiomyoma in uterus followed by adenomyosis combined with leiomyoma, while in cervical canal commonest finding was cervicitis in Hysterectomy specimen.

Keywords

Adenomyosis, Histopathology, Hysterectomy, Leiomyoma, Cervicitis.

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adenomyosis

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