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Category: Volume 06 Issue 05 May 2018
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Title: Histo-Pathological Evaluation in Cases of Hysterectomy Specimens in Tertiary Care Hospital at Muzaffarpur, Bihar

Authors : Dr Soma Thakur, Dr Manoj Kumar, Dr Raghvendra Kumar, Dr Mahesh Prasad

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.149

Abstract

Objective: This study was a prospective observational study. The aim of present study was to find out the most common Pathological cause of hysterectomy in tertiary care Hospital and incidence of hysterectomy in different age groups. It was also aimed to correlate the clinical, Pathological and radiological findings.

Materials and Methods: A total of 150 Patients of different age groups comes with different chronic complains in (Gynecology and obstetrics OPD) GOPD were studied. All patient after Pathological and radiological evaluation, undergone hysterectomy and all the specimens were received in the department for Histopathological examination.

Result: Out of 150 Patients, 72 (48%) Patients belongs to age groups of 40-49 years and 33(22%) cases belongs to age group of 30-39 Years. The most common presenting symptoms of patients undergoing hysterectomy was prolapse of uterus in 64 (42.6%) cases. Menorrhagia was the second most common complains in 57 (38%) cases. Most common clinical indication of hysterectomy was prolapse of uterus in 64 Patients (42.6%), Followed by Leiomyoma in 24 Patients (16%), carcinoma of cervix was found only in 1 patient (0.7%)

The most common histopathological finding was atrophic/Proliferative/ Secretory endometrium in 64 Patients (42.6%) followed by adenomyosis in 32 (21.33%) cases and Leiomyoma in 27 (18%) cases.

Conclusion: Histopathological evaluation of all cases of hysterectomy specimen were done. In most of the cases proper pathological cause and discussion of the condition of the women were not done due to various Pre- hysterectomy symptoms. Women abstain from work and routine duties. These problem can we avoided by proper diagnosis and treatment.

Keywords: Hysterectomy, Histopathological examination, DUB, Leiomyoma, Uterus.

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Corresponding Author

Dr. Soma Thakur

Tutor, Department of Pathology, Sri Krishna Medical College, Muzaffarpur