Histopathological evaluation of hysterectomy specimens in a tertiary care hospital- a three years retrospective study

Dwivedi T., Davanageri R., Gosavi M and Bannur H

Aim: To evaluate histopathologically, the various patterns of lesions in hysterectomy specimens and also to correlate histopathological diagnosis with the clinical indications for hysterectomy.

Materials & Methods: A three year retrospective study of total of 514 hysterectomy specimens was conducted from October 2011 to September 2014 in the department of Pathology of a tertiary-care hospital. The various patterns of lesions in hysterectomy specimen were evaluated and histopathological diagnosis of the hysterectomy specimens were compared with their clinical indications.

Result: 514 hysterectomy specimens were analyzed. The patient's age ranged between 20 to 80 years with an average age of 48 years old. Most common indication was pelvic inflammatory disease (PID). The most common pathologies identified were simple hyperplasia in endometrium, leiomyoma in myometrium, squamous metaplasia in cervix, corpus luteal cyst in ovaries and hydrosalpinx in fallopian tubes. Overall most common pathology identified was leiomyoma. The pathologic examination confirmed the clinical diagnosis in 92.8% of the cases. Hence, histopathological analysis correlates well with the pre-operative indication for hysterectomy.

Conclusion: Pelvic inflammatory disease was the main indication for performing the hysterectomy and leiomyoma was the most common histological diagnosis encounted. Histopathology examination is mandatory for optimal management, especially in cases of neoplasm.

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DOI: http://dx.doi.org/10.24327/ijcar.2017.4309.0489