Clinical and USG Diagnosis versus Histopathological Outcome in Cases of Hysterectomy
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 10
Abstract
Abstract: Hysterectomy is the most commonly performed gynaecological operation throughout the world. Fewer studies have been performed describing the relationship between pre-operative clinical, ultrasonological diagnosis and histopathological outcome. This study was undertaken to correlate the different clinical findings and parameters of the patients with USG findings which was later confirmed by histopathological evaluation of the specimen. It was a prospective observational study over a period of one year from June 2014 to May 2015 which was conducted in Department of Obstetrics and Gynaecology, Calcutta National Medical College & Hospital, Kolkata, a tertiary care referral hospital. In this study patient was first examined clinically and then pelvic sonographic evaluation was done. Only clinically benign cases were included in this study. A total of 100 cases were studied. The mean age of the patients was 45 years with high incidence in multipara and most common complaint of abnormal menstrual bleeding followed by prolapse. Ultrasound detected 68% fibroids and 64% of adenomyosis. The commonest preoperative indication based on clinical and USG findings was fibroid uterus (38%).The most common route was vaginal (53) including non-descent vaginal hysterectomy. The most common pathology identified was leiomyoma (36%) followed by adenomyosis (31%).One missed malignant case of leiomyosarcoma was detected. Out of the clinical diagnosis, ultrasonographical findings and histopathological diagnosis, histopathological diagnosis was found to be the gold standard to ensure the final diagnosis. Keywords:Hysterectomy, Histopathology, Leiomyoma, Adenomyosis, Prolapse, Leiomyosarcoma
Authors and Affiliations
Arti kumari, Pranab Kumar Biswas
Keywords
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