Clinicopathological study of hysterectomies.

Journal of the Indian Medical Association · 2002 · vol. 100(4) , pp. 238–9, 246 · PMID:12405332 · W2396134450
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This clinicopathological study of 100 hysterectomies found that abnormal menstrual flow was the most common complaint, with fibroids and dysfunctional uterine bleeding being the primary indications.

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Abstract

A randomised study of 100 cases undergoing hysterectomy in the age group of 20-70 years was carried out and clinicopathological correlation was done. Maximum number of women who underwent hysterectomy were in the age group of 31-50 years. Abnormal menstrual flow was the most common complaint (66%). Clinically main indications for hysterectomy were fibroid (34%), dysfunctional uterine bleeding (DUB) (26%) and uterine prolapse (24%). Abdominal hysterectomy was the procedure of choice in conditions other than uterovaginal prolapse. Out of 34 cases, clinically diagnosed as fibroid uterus, leiomyoma was found on histopathology in 25 cases and adenomyosis in 3 cases. In 3 cases, both leiomyoma and adenomyosis were present. Out of 26 cases, clinically diagnosed as DUB, histopathological examination revealed leiomyoma in 6 cases, adenomyosis in 9 cases, endometrial polyp in 3 cases. Hence, after exclusion of organic pathology, DUB was confirmed in 8 cases.

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Condition tags

mesh:D004715adenomyosis

MeSH descriptors

Endometriosis Hysterectomy Leiomyoma Menorrhagia Uterine Neoplasms Adult Aged Endometriosis Female Humans Leiomyoma Menorrhagia Middle Aged Retrospective Studies Uterine Neoplasms

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