Title: Histopathological study of hysterectomy specimens in a tertiary care centre: study of 520 cases
Authors: Sarita Nair, Naisargi Patel
DOI: https://dx.doi.org/10.18535/jmscr/v7i12.94
Abstract
Background: The female genital tract is a hormone responsive system to a degree unmatched by any other system in the body. Women worldwide suffer from gynaecologic and obstetric disorders that require hysterectomy as a treatment option. The aim of the study was to evaluate all hysterectomy specimens and to study the pattern of pathological changes of different lesions occurring in cervix and uterus in relation to different age groups.
Materials and Methods: This retrospective study was conducted on hysterectomy specimens reported to Department of Pathology. Total 520 hysterectomy specimens were included in the study with age of patients varying from 20 years to 90 years. Detail clinical and other relevant history were taken followed by thorough gross examination and histopathological evaluation.
Results: Total number of hysterectomy specimen received were 520(43%). The peak age prevalence of hysterectomy was noted in the 5th decade in 173 (33%) cases. The commonest lesion encountered was leiomyoma in 192 cases (37%), 20 cases (4%) of carcinoma cervix%. and 8 cases (1.6%) of cervical dysplasia, 6cases (1.2%) of carcinoma endometrium, were encountered.
Conclusion: Study of hysterectomy specimen is fascinating as a variety of lesions are encountered. This specimen being frequently received in our department needs to be thoroughly studied in order to know the different types of histopathological lesions in female genital tract, hence histopathological examination of all hysterectomy specimens should be done and analysed.
Keywords: Hysterectomy, leiomyoma, carcinoma cervix.