ABSTRACT
Hysterectomy is one of the most common major surgical procedure performed all over the world. Indications for total abdominal hysterectomy include dysfunctional uterine bleeding, leiomyoma, adenomyosis, chronic pelvic pain and pelvic inflammatory disease. Other causes include endometrial hyperplasia, cervical intraepithelial neoplasia. invasive cancer and endo-metrial malignancy. Hysterectomy specimens contribute a major component of histopathological work in Pathology laboratories. The present study was undertaken in Pathology department, Allama Iqbal Medical College, Lahore to find out the morphology and frequency of different benign histopathological lesions in myometrium of uterus in total abdominal hysterectomy specimens. A descriptive case series study of one hundred total abdominal hysterec-tomy specimens was carried out in Allama Iqbal Medical College, Lahore. One hundred total abdominal hysterectomy specimens were studied. The ages of the patients ranged from 30 - 69 years with maximum [73%] cases in 40 - 49 years age group. The commonest presenting complaint was menorrhagia [68%]. The two benign histopathological lesions in myometrium were leiomyoma and adenomyosis. Myometrium revealed leiomyoma in 6g% cases and foci of adenomyosis in 47% cases. The commonest benign histopathological lesion in myometrium was leiomyoma [69%] followed by adenomyosis [47%]
ABSTRACT
This is a retrospective study to find out the frequency of various uterine tumours. It includes hystrectomy specimens, tumour excisions and endometrial curettings which were sent to Department of Pathology, Allama Iqbal Medical College, Lahore and author's laboratory during a period from January 2001 to March 2003. A total of 471 cases are analysed. Leiomyomas were seen in 369 patients [78.34%] and endometrial polyps in 49 cases [10.41%]. Malignant tumours were found less frequently with adenocarcinoma in 23 patients [4.88%] followed by leiomyosarcoma in 8 patients [1.70%], Endometrial stromal tumours in 7 patients [1.49%], Choriocarcinoma in 6 patients [1.27%] and Mixed Mullarian tumours in three patients [0.64%]. NonHodgkin's Lymphoma was seen in one patient [0.21%] while in five patients [1.06%], metastatic tumours were found. Three were squamous cell carcinomas, two from cervix and one from lung while two were invasive ductal carcinomas coming from breasts. It is concluded that in the uterus benign tumours and tumour like conditions are more common with leiomyomas as the most common uterine neoplasms whereas malignant tumours are less common and endometrial adenocarcinoma being the most common uterine malignant tumour