Histopathological pattern of endometrium in Adenomyosis

Chaitra Shivananjiah, Ashwini Nayak, Asha Swarup, Sridhar Honappa, Kamya Ramesh Swaminathan, Davis Sabu Pathadan
In: Indian Journal of Obstetrics and Gynecology Research · 2016 · vol. 3(2) , pp. 101 · doi:10.5958/2394-2754.2016.00025.4 · W2523610674
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This study examined the histopathological patterns of the endometrium in 44 patients with adenomyosis and abnormal uterine bleeding, finding proliferative endometrium to be the most common pattern.

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This 2016 study investigated the histopathological pattern of endometrium and associated pathologic conditions in patients with abnormal uterine bleeding attributed to adenomyosis. Using hysterectomy specimens from 44 patients treated at M.S. Ramaiah medical college and teaching hospital (Dec 2013–Dec 2015), the authors reported age distribution (34–65 years) and quantified endometrial patterns, finding proliferative endometrium as the most common (26/44, 59.09%). They noted that associated histopathology ranged from proliferative endometrium to endometrial hyperplasia, and they mentioned estrogen as a possible risk factor in relation to fibroids and endometrial hyperplasia. This paper is centrally about endometriosis and/or adenomyosis — specifically adenomyosis, focusing on the histopathological pattern of the endometrium in adenomyosis-associated abnormal uterine bleeding.

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Abstract

Objective: To study the histopathological pattern of endometrium and associated pathological conditions in patients who had abnormal uterine bleeding due to adenomyosis. Material and Methods: This was a study done at M.S. Ramaiah medical college and teaching hospital,Bangalore on 44 patients  who underwent hysterectomy due to Abnormal uterine bleeding with adenomyosis from Dec 2013 to Dec 2015. All the quantitative variables were expressed as mean and qualitative variables as percentages. Results: The age of the patients who had adenomyosis ranged from 34 to 65 years, majority (50%) were in the age group of 41-50 years. The commonest histopathological pattern found was proliferative endometrium (n=26, 59.09%). Conclusion: Adenomyosis contributes to a large proportion of patients who present with abnormal uterine bleeding. The associated histopathology varies from proliferative endometrium to endometrial hyperplasia. Estrogen may be a risk factor as it is associated with fibroid and endometrial hyperplasia. Keywords: Adenomyosis, Endometrium, Abnormal uterine bleeding
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- Year: 2016 - Volume: 3 - Issue: 2 - Author: - Chaitra Shivananjiah1, Ashwini U Nayak2,, Asha Swarup3, Sridhar Honappa4, Kamya Ramesh Swaminathan5, Davis Sabu Pathadan - Total Page Count: 3 - Page Number: 101 to 103 1Junior Resident, 2Associate Professor, 3Professor & HOD, 4Associate Professor, 53rd Year Graduate Student, *Corresponding Author: Email: [email protected] To study the histopathological pattern of endometrium and associated pathological conditions in patients who had abnormal uterine bleeding due to adenomyosis. This was a study done at M.S. Ramaiah medical college and teaching hospital, Bangalore on 44 patients who underwent hysterectomy due to Abnormal uterine bleeding with adenomyosis from Dec 2013 to Dec 2015. All the quantitative variables were expressed as mean and qualitative variables as percentages. The age of the patients who had adenomyosis ranged from 34 to 65 years, majority (50%) were in the age group of 4150 years. The commonest histopathological pattern found was proliferative endometrium (n=26, 59.09%). Adenomyosis contributes to a large proportion of patients who present with abnormal uterine bleeding. The associated histopathology varies from proliferative endometrium to endometrial hyperplasia. Estrogen may be a risk factor as it is associated with fibroid and endometrial hyperplasia. Adenomyosis, Endometrium, Abnormal uterine bleeding

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adenomyosis

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