How does Histopathology Correlate with Clinical and Operative Findings in Abdominal Hysterectomy?
This study compared clinical, peroperative, and histopathological findings in 100 abdominal hysterectomies, finding discrepancies in diagnoses for myoma and dysfunctional uterine bleeding cases.
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This prospective study compared clinical, per-operative, and histopathological diagnoses in 100 women undergoing abdominal hysterectomy for indications including fibroid uterus, dysfunctional uterine bleeding, and chronic cervicitis, using history, clinical exam, and operative findings to categorize cases before histology confirmation. The authors reported that while clinical and operative findings were generally correlated with histopathology, discordance occurred: of 38 clinically diagnosed leiomyoma cases, 8 had different histopathological findings (adenomyosis in 6 and normal in 2), and among 20 clinically diagnosed dysfunctional uterine bleeding cases, 6 were found to have myoma and adenomyosis on histology. A limitation explicitly reflected by the study context is that correlation was assessed within this specific abdominal hysterectomy indication set and sample, which may not capture all uterine or cervical pathologies. Relevance to endometriosis: the paper explicitly reports endometriosis (external and adenomyosis) as one of the hysterectomy case categories and details adenomyosis findings that arise from histopathology discordance.
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References (11)
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Cited by (6)
- Audit of histopathological specimens of laparoscopic hysterectomy at Noble's hospital, IOM 2023
- Revisiting indication for hysterectomy according to PALM-COEIN classification and its correlation with histopathological examination reports 2023
- Comparative Study of Diagnostic Accuracy of Ultrasonography Vs Histopathology in patients Undergoing Hysterectomy due to Uterine Pathologies 2022
- Correlation of Transvaginal USG and Endometrial aspiration findings with various menstruation patterns and histopathological examination of Uterus 2019
- Analysis of indications and route of hysterectomy for benign conditions 2018
- Analytical study of hysterectomies 2016
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- last seen: 2026-06-04T00:00:01.174412+00:00