Clinico-Pathological Correlation of Hysterectomy Specimens for Abnormal Uterine Bleeding in Peri Menopausal Women
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 1
Abstract
Background: Abnormal Uterine Bleeding (AUB) - a term used to describe any type of bleeding that does not fall within the normal ranges for amount, frequency, duration, or cyclicity. The most common presentations are menorrhagia, polymenorrhoea, metrorrhagia, and intermenstrual bleeding. AUB during premenopausal period poses a diagnostic challenge to clinician and pathologist, as early diagnosis and treatment depends on that. Aims and Objectives: To Correlate clinical and histopathological pattern in women with peri menopausal bleeding by studying hysterectomy specimens. Material and Methods: After obtaining institutional Ethical Committee approval and written informed consent, hysterectomy specimens of 200 patients with abnormal uterine bleeding were studied for histopathological examination during the period of December 2014to December 2016. Results: Mean age of cases was 41.2 ±6.8 years. Majority of the cases of peri menopausal uterine bleeding was in age group of 45 – 55 years (61 %). Disuterine bleeding, Fibroid, DUB with PID was commonest indications for which hysterectomy was indicated. Non Descent Vaginal Hysterectomy was commonest hysterectomy procedure performed (64 %). The most common histopathological finding was leimyoma found in 36.5 % of cases, followed by adenomyosis which was found in 13.5 % cases. Conclusion: Leiomyoma are the most common benign conditions found in hysterectomy specimens with peak incidence at 45-55 years. Histopathology is mandatory for confirming diagnosis and ensuring optimal management.
Authors and Affiliations
Dr Sujeet Kumar Mandal
Keywords
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