Histopathological patterns of benign lesions in hysterectomy specimens

  • Ujwal Rai Department of Pathology
  • Monasha Vaidya Department of Gynaecology and Obstetric
  • Gehanath Baral Department of Gynaecology and Obstetric2Department of Gynaecology and Obstetric
  • Smrity Mool Joshi Department of Gynaecology and Obstetric B and C Teaching hospital and Research Centre, Jhapa, Nepal, Birtamode
  • Sunita Ray Department of Gynaecology and Obstetric B and C Teaching hospital and Research Centre, Jhapa, Nepal, Birtamode

Abstract

Aims: To audit and evaluate the surgical indications, routes of surgery and types of hysterectomies performed along with histopathological analysis of those hysterectomies in respect to disease of endometrium, myometrium, cervix and fallopian tubes and ovaries for benign conditions.


Methods: This is retrospective cross sectional study of all hysterectomy specimens received in the department of Pathology, B and C teaching hospital and research center, Jhapa, Birtamode, Nepal from May 2017 to May 2019. Clinical details were received from the data provided by gynecologists in histopathological requisition forms. Only specimens received for the benign indication for hysterectomy were taken.


Results: Out of 115 specimens, the number was equal on both abdominal and vaginal route. The common indications were leiomyoma (60%, n=69), abnormal uterine bleeding (24%, n=28) and uterine prolapsed in 11% (n=13). Uterovaginal prolapse was seen commonest indication for hysterectomy in age group of 5th and 6th decade of life. Myometrial pathology was seen in 74% (n=75) comprising mostly of leiomyoma. Endometrial pathology was present in 14% (n=16) and chronic non-specific cervicitis in 24% (n=28). Abnormal tubo-ovarian pathology was found in 40% (n=51).


Conclusions: Leiomyoma, abnormal uterine bleding and uterovaginal prolapsed are the common benign conditions undergoing hysterectomy.

Published
Jan 3, 2020
How to Cite
RAI, Ujwal et al. Histopathological patterns of benign lesions in hysterectomy specimens. Nepal Journal of Obstetrics and Gynaecology, [S.l.], v. 14, n. 1, p. 44-47, jan. 2020. ISSN 1999-8546. Available at: <http://njog.org.np/njog/index.php/njog/article/view/1061>. Date accessed: 07 apr. 2020.
Section
Original Articles