How does Histopathology Correlate with Clinical and Operative Findings in Abdominal Hysterectomy?

In: Journal of Armed Forces Medical College, Bangladesh · 1970 · vol. 6(2) , pp. 17–20 · doi:10.3329/jafmc.v6i2.7268 · W2101040213
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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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Abstract

Many a times the clinical and per operative diagnosis does not correlate with histopathological diagnosis. Aim of this study was to compare the clinical, peroperative and histopathological findings of different cases of fibroid uterus, dysfunctional uterine bleeding and chronic cervicitis which needed abdominal hysterectomy. In this prospective study 100 cases of abdominal hysterectomy were done over a period of two years. Among them 38% cases were of leiomyoma uterus and 20%, 18%, 12%, 7% and 5% were of dysfunctional uterine bleeding, chronic cervicitis, pelvic inflammatory disease, benign ovarian tumours and endometriosis (external and adenomyosis) respectively. Cases studied on the basis of history, clinical examination and per operative findings. Specimens were sent for histopathology and reports were analyzed. It was thus co-related with the clinical presentation and per operative findings. Among 100 cases, 38 cases were of myoma diagnosed clinically but histopathological findings of 8 patients were different (adenomyosis in 6 cases and normal finding in 2 cases). Among 20 cases of clinically diagnosed dysfunctional uterine bleeding, 6 cases were found to have myoma and adenomyosis on histopathological examination.Key words: Histopathology findings; hysterectomy; diagnosis DOI: 10.3329/jafmc.v6i2.7268JAFMC Bangladesh. Vol 6, No 2 (December) 2010 pp.17-20
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How does Histopathology Correlate with Clinical and Operative Findings in Abdominal Hysterectomy? DOI: https://doi.org/10.3329/jafmc.v6i2.7268Keywords: Histopathology findings, hysterectomy, diagnosisAbstract Many a times the clinical and per operative diagnosis does not correlate with histopathological diagnosis. Aim of this study was to compare the clinical, peroperative and histopathological findings of different cases of fibroid uterus, dysfunctional uterine bleeding and chronic cervicitis which needed abdominal hysterectomy. In this prospective study 100 cases of abdominal hysterectomy were done over a period of two years. Among them 38% cases were of leiomyoma uterus and 20%, 18%, 12%, 7% and 5% were of dysfunctional uterine bleeding, chronic cervicitis, pelvic inflammatory disease, benign ovarian tumours and endometriosis (external and adenomyosis) respectively. Cases studied on the basis of history, clinical examination and per operative findings. Specimens were sent for histopathology and reports were analyzed. It was thus co-related with the clinical presentation and per operative findings. Among 100 cases, 38 cases were of myoma diagnosed clinically but histopathological findings of 8 patients were different (adenomyosis in 6 cases and normal finding in 2 cases). Among 20 cases of clinically diagnosed dysfunctional uterine bleeding, 6 cases were found to have myoma and adenomyosis on histopathological examination. Key words: Histopathology findings; hysterectomy; diagnosis DOI: 10.3329/jafmc.v6i2.7268 JAFMC Bangladesh. Vol 6, No 2 (December) 2010 pp.17-20 Downloads 364 555

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