Clinical features of adenomyosis proven on histopathology in hysterectomy specimens: An experience at teaching hospital.

Sadaf Shafique, Raees Abbas Lail, Mahham Janjua, Raheel Khan
In: The Professional Medical Journal · 2020 · vol. 27(12) , pp. 2686–2690 · doi:10.29309/tpmj/2020.27.12.4703 · W3107645206
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⚙ AI-generated summary by claude@2026-06, 2026-06-29 ⓘ

This study analyzed 105 hysterectomy specimens, finding menorrhagia (55.2%) and multiparity (96.2%) were most common in histopathologically proven adenomyosis cases.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-03 · read from full text ⓘ

This descriptive retrospective study analyzed 105 hysterectomy specimens (Jan 2018–Dec 2019) from a teaching hospital, where adenomyosis was confirmed on histopathology, and reviewed associated medical records to characterize clinical features. Menorrhagia was the most common presenting symptom (55.2%), most patients were multiparous (96.2%), and dysfunctional uterine bleeding was the most frequent clinical diagnosis (60.0%), with statistically significant differences reported across age groups, presenting symptoms, and clinical diagnoses. The paper’s main limitation is that it is based on a retrospective review of specimens already proven by pathology, without assessing how well clinical diagnosis performed prospectively. This paper is centrally about adenomyosis — it examines clinical features of adenomyosis in hysterectomy specimens proven histopathologically.

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Abstract

Objectives: To study the clinical features of adenomyosis in hysterectomy specimens which have been proved on histopathology. Study Design: Descriptive study. Setting: Department of Pathology, Quaid-e-Azam Medical College & its Allied Institutes. Period: Jan 2018 to December 2019. Material & Methods: A total specimen of 105 was included in the study and the medical records were examined retrospectively. SPSS v.23.0 was used for data collection and analysis. Results: A total of 105 specimens were included in study. Menorrhagia (55.2%) was most common presenting symptom, most of the patients were multiparous (96.2%) & Dysfunctional uterine bleeding was most common clinical diagnosis (60.0%). Statistical significance was found between different age groups, presenting symptoms & clinical diagnosis. Conclusion: Menorrhagia is most common presenting symptom of adenomyosis, and clinical diagnosis of dysfunctional uterine bleeding was most common. So adenomyosis remain under diagnosed clinical condition.
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Clinical features of adenomyosis proven on histopathology in hysterectomy specimens: An experience at teaching hospital. DOI: https://doi.org/10.29309/TPMJ/2020.27.12.4703Keywords: Adenomyosis, Dysmenorrhea, Dysfunctional Uterine Bleeding, Ectopically, Myometrium, Menorrhagia, MultiparousAbstract Objectives: To study the clinical features of adenomyosis in hysterectomy specimens which have been proved on histopathology. Study Design: Descriptive study. Setting: Department of Pathology, Quaid-e-Azam Medical College & its Allied Institutes. Period: Jan 2018 to December 2019. Material & Methods: A total specimen of 105 was included in the study and the medical records were examined retrospectively. SPSS v.23.0 was used for data collection and analysis. Results: A total of 105 specimens were included in study. Menorrhagia (55.2%) was most common presenting symptom, most of the patients were multiparous (96.2%) & Dysfunctional uterine bleeding was most common clinical diagnosis (60.0%). Statistical significance was found between different age groups, presenting symptoms & clinical diagnosis. Conclusion: Menorrhagia is most common presenting symptom of adenomyosis, and clinical diagnosis of dysfunctional uterine bleeding was most common. So adenomyosis remain under diagnosed clinical condition.

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