Incidental Findings in Uterine Prolapse Specimen: Frequency and Implications

Hong Yin, Yin H, Khush Mittal, Mittal K
International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists · 2003 · vol. 23(1) , pp. 26–28 · doi:10.1097/01.pgp.0000101142.79462.be · PMID:14668546 · W2004276863
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This study examined uterine specimens from prolapse surgeries and found frequent incidental lesions, including a correlation between leiomyomata and adenomyosis, noting two routine sections are adequate for detection.

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This study investigated the frequency and clinical implications of incidental pathological findings in uterine specimens removed for prolapse. The authors discovered that such incidental findings occur more frequently than previously reported, with a notable correlation between leiomyomata and adenomyosis. They concluded that sampling all grossly visible lesions along with two routine sections is sufficient to identify significant pathology. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Uterine prolapse is a benign and common condition, especially in older women. In this study, we investigated the frequency and implications of incidental findings in uteri removed for prolapse. We found a high frequency of incidental findings that was greater than previously reported and a correlation between the occurrence of leiomyomata and adenomyosis. As long as all grossly visible lesions are sampled, two routine sections were found to be sufficient to identify all significant lesions.
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Original Contributions Incidental Findings in Uterine Prolapse Specimen: Frequency and Implications - Hong Yin - Khush Mittal International Journal of Gynecological Pathology 23(1):p 26-28, January 2004. | DOI: 10.1097/01.pgp.0000101142.79462.be Summary: Uterine prolapse is a benign and common condition, especially in older women. In this study, we investigated the frequency and implications of incidental findings in uteri removed for prolapse. We found a high frequency of incidental findings that was greater than previously reported and a correlation between the occurrence of leiomyomata and adenomyosis. As long as all grossly visible lesions are sampled, two routine sections were found to be sufficient to identify all significant lesions. Copyright ©2004International Society of Gynecological Pathologists

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Incidental Findings Uterine Neoplasms Uterine Prolapse Uterine Prolapse Adenocarcinoma Adenocarcinoma Adult Aged Aged, 80 and over Endometrial Hyperplasia Endometrial Hyperplasia Endometrial Hyperplasia Endometriosis Endometriosis Female Humans Hysterectomy Leiomyoma Leiomyoma Middle Aged

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