Patterns of Lesions in Hysterectomy Specimens: A Prospective Study.

ABSTRACT

Hysterectomy is the most commonly performed gynaecological surgery throughout the world. Few studies have been performed describing the pathologic findings in hysterectomy specimens and examining the relationship between the preoperative clinical indication and pathologic diagnosis. This study was undertaken to identify the most common pathologies in hysterectomy specimens and to correlate the findings with the clinical indications. Six hundred and ninety eight cases studied over a period of one year formed the subject of the present study. Surgical specimens were formalin fixed and tissue was adequately processed from them. The sections were stained routinely with hematoxylin and eosin stain. Menorrhagia, fibroid uterus and uterovaginal prolapse were the most common clinical indications for hysterectomy. The most common pathologies identified were atrophic endometrium in endometrium, leiomyoma in myometrium, chronic cervicitis in cervix, ovarian cysts in ovaries and salpingitis in fallopian tubes. The pathologic examination confirmed the clinical diagnosis in majority of the cases.