HISTOMORPHOLOGICAL PATTERNS OF HYSTERECTOMY SPECIMENS IN A TERTIARY CARE HOSPITAL: A TWO-YEAR STUDY

a Laltlanzovi, Hmingthanzuali Ralte, Sailo Lalrinzuali, Chawngthu Vanlalhlua
In: International Journal of Advanced Research · 2022 · vol. 10(11) , pp. 700–704 · doi:10.21474/ijar01/15718 · W4311078248
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This retrospective two-year study analyzed the histomorphological patterns of 142 hysterectomy specimens from a tertiary care hospital in Mizoram. The results identified leiomyoma as the most frequent utine pathology at 63%, followed by adenomyosis at 13%, while chronic cervicitis and functional ovarian cysts were the predominant cervical and adnexal findings respectively. Although pre-operative clinical indications generally correlated with the final pathological diagnoses, the authors noted that several lesions were incidental findings discovered only after examination. Relevance to endometriosis: adenomyosis is listed as a common histopathological finding in this cohort, but the paper does not discuss endometriosis or its specific pathophysiology.

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Abstract

Introduction: Hysterectomy is the second most common gynecological surgery next to caesarean section. The indications for hysterectomy may vary from one region to another and histomorphological pattern may also vary. Aim: The aim of the study is to analyze the various histomorphological patterns of uterine and adnexal pathology in the hysterectomy specimens. Material and Methods: This is a retrospective study done over a period of two years at the department of Pathology, Zoram Medical College, Mizoram. Data of all hysterectomy specimens during this period were analyzed. Results: Out of the 142 cases, Leiomyoma was the most common uterine pathology seen followed by adenomyosis, 63% and 13% respectively. Chronic cervicitis was the most common cervical pathology and, in the ovaries, tumor-like lesions functional cysts were the most common pathology seen. The most common indication for hysterectomy was fibroid followed by dysfunctional uterine bleeding. Conclusion: The histopathological findings correlate with the pre-operative clinical indications however, a number of lesions were incidental findings. Therefore, it is important that every hysterectomy specimen be subjected for histopathological examination for better post-operative management.
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Abstract

Introduction: Hysterectomy is the second most common gynecological surgery next to caesarean section. The indications for hysterectomy may vary from one region to another and histomorphological pattern may also vary. Aim: The aim of the study is to analyze the various histomorphological patterns of uterine and adnexal pathology in the hysterectomy specimens.

Material and methods

This is a retrospective study done over a period of two years at the department of Pathology, Zoram Medical College, Mizoram. Data of all hysterectomy specimens during this period were analyzed.

Results

Out of the 142 cases, Leiomyoma was the most common uterine pathology seen followed by adenomyosis, 63% and 13% respectively. Chronic cervicitis was the most common cervical pathology and, in the ovaries, tumor-like lesions functional cysts were the most common pathology seen. The most common indication for hysterectomy was fibroid followed by dysfunctional uterine bleeding.

Conclusion

The histopathological findings correlate with the pre-operative clinical indications however, a number of lesions were incidental findings. Therefore, it is important that every hysterectomy specimen be subjected for histopathological examination for better post-operative management.

Keywords

How to Cite This Article Laltlanzovi, Hmingthanzuali Ralte, Lalrinzuali Sailo and Chawngthu Vanlalhlua (2022); HISTOMORPHOLOGICAL PATTERNS OF HYSTERECTOMY SPECIMENS IN A TERTIARY CARE HOSPITAL: A TWO-YEAR STUDY, International Journal of Advanced Research (IJAR), 10 (11), 700-704, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/15718

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