JOURNAL OF EVIDENCE BASED MEDICINE AND HEALTHCARE

Table of Contents

2018 Month : September Volume : 5 Issue : 36 Page : 2656-2660

SPECTRUM OF LESIONS IN HYSTERECTOMY SPECIMENS- A ONE YEAR RETROSPECTIVE STUDY

Jaya Maisnam1, Naveen Kumar B. J2, Zubair Hasan3

Corresponding Author:
Dr. Jaya Maisnam,
Sector 2, 22nd Cross,
HSR Layout, Bangalore- 560102.
E-mail: jayamaisnam@hotmail.com
DOI: 10.18410/jebmh/2018/545

ABSTRACT
BACKGROUND
Hysterectomy is the most commonly performed gynaecological surgery throughout the world. The prevalence varies from country to country, region to region. This study was conducted to identify the most common pathologies in hysterectomy specimens and also to know the most common age group undergoing hysterectomies. In this study, the most common pathologies were atrophic endometrium in endometrium, leiomyoma in myometrium, chronic cervicitis in cervix, ovarian cysts in ovaries and salpingitis in fallopian tubes. The most common age group was 40-49 years followed by 50-59 years group. Type of hysterectomy performed most commonly in this study was trans abdominal hysterectomy (TAH). Abnormal uterine bleeding, fibroid and uterovaginal prolapse were the most common clinical indications of hysterectomy. The pathological examination confirmed the clinical diagnosis in majority of the cases. Hysterectomy still remains the widely used treatment modality in developed and developing countries.

MATERIALS AND METHODS
This is a retrospective study consisting of 160 cases of hysterectomy specimens received in the department of Pathology, Oxford Medical College and Hospital, Bangalore, Karnataka. Total duration of study was one year i.e. From January 2017 to December 2017. Gross features were examined in detail and multiple bits were taken from representative sites, processed and paraffin blocks were made. After thorough microscopic examination a histopathological diagnosis was given.

RESULTS
A total of 160 cases were studied. Most common age group underwent hysterectomy was 40-49 years group and least was done in age group 70-79 age group. The most common type of hysterectomy was total abdominal hysterectomy comprising of 57 cases (35.62%) followed by total abdominal hysterectomy with bilateral salpingo oophorectomy comprising of 48 cases (30%) followed by vaginal hysterectomy comprising of 36 cases (22.5%).

CONCLUSION
Hysterectomy is a very commonly performed gynaecological surgery with AUB with underlying pathology being the most important indication for surgery. Therefore, it is mandatory that all hysterectomy specimens be subject to histopathological examination even if it grossly appears to be normal.

KEYWORDS
Hysterectomy, Endometroid Cancer, Abnormal Uterine Bleeding, Endometriosis.