Clinicopathological Study of 100 Cases of Hysterectomies In A Tertiary Care Centre

ackground: A retrospective study of 100 cases of hysterectomies was conducted in Dept. of Pathology, GovernmentMedical College, Patiala. Methods:Clinical and histopathological data were collected and correlation made. Maximum number of patients who underwent hysterectomy were in the age-group of 41-50 years. Results: The median age came out to be 47 yrs. Abnormal uterine bleeding was the most common complaint (82%). Main indication of hysterectomy was fibroid(63%) followed by prolapse (14%) and adenomyosis (12%). Histopathological correlations were made with the clinical findings. On histopathology, leiomyoma was the most common diagnosis followed by atrophic endometrium and adenomyosis. Conclusion: Correlation between clinical and histopathological diagnosis was very good. But still, histopathology remains the mainstay of establishing the confirmatory diagnosis and for histological subtyping of malignancies.

Histopathological Correlation of Adenomyosis, Leiomyoma and Dual Pathology in Hysterectomy Specimens as the Cause of Abnormal Uterine Bleeding In Women in Different Age Groups

Background: The objective was to study adenomyosis and leiomyoma as the cause of abnormal uterine bleeding in hysterectomy specimens. Methods: This was a study carried out on 100 hysterectomy specimens, of subjects who presented to the department of Obstetrics and Gynaecology at Government Medical College, Patiala with the complaint of abnormal uterine bleeding. Data including age, parity, symptoms and clinical indication for hysterectomy was collected for the study and the histopathological findings were recorded. The specimens were well grossed and stained with hematoxylin and eosin and examined microscopically.Results: Women in the perimenopausal age (41-50 years) accounted for the highest number of cases (35, 44.30%) presenting with symptoms of AUB. In this age group leiomyoma was found to be the commonest cause of AUB (19, 54.28%). The most common symptom was heavy menstrual bleeding. Clinical, radiological and pathological evaluation correlated well with the diagnosis of leiomyoma but was of little help in diagnosing adenomyosis. Conclusion: Hence, adenomyosis still remains a clinical challenge and should be kept in mind by the clinician as well as the pathologist in women presenting with AUB.