HISTOPATHOLOGICAL SPECTRUM OF HYSTERECTOMY SPECIMENS- A RETROSPECTIVE ANALYSIS AT IGIMS, PATNA, BIHAR
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 30
Abstract
BACKGROUND Uterus is subjected to many benign and malignant diseases, which are managed by medical and surgical methods. In this study we analysed the spectrum of morphological changes noted in the hysterectomy specimen received in our department. We also emphasised the relevance of histopathology in every case and highlighted any incidental findings including non-neoplastic and neoplastic lesions. MATERIALS AND METHODS This is a retrospective descriptive study. We included a total of 220 hysterectomy samples received in the Pathology Department of Indira Gandhi Institute of Medical Sciences from January 2015 to December 2016. Cases were selected as per inclusion and exclusion criteria. All the details were collected from histopathology request form and hospital record sheet. Gross and microscopic features were analysed and recorded. RESULTS We included a total of 220 hysterectomy specimens. 161 cases had undergone total abdominal hysterectomy and 59 cases had undergone simple hysterectomy. The most common age group was in the age range of 41 - 50. The most common pathological findings in the myometrium was leiomyoma (29.04%) followed by adenomyosis (11.69%). In cervix, the common histopathological finding was chronic cervicitis (91.81%). Squamous cell carcinoma in cervix was 6.36%. In ovaries, non-neoplastic cystic lesions were in 10% cases. Other benign tumours include mature cystic teratoma (1.81%), mucinous cystadenoma (1.81%) and serous cystadenoma (4.09%). In malignant counterpart, serous cystadenocarcinoma and mucinous cystadenocarcinoma are 4.09% and 1.81% respectively. One case of collision tumour and one case of Krukenberg tumour were noted. CONCLUSION Hysterectomy is a treatment modality for benign as well as malignant clinical conditions. The increasing incidences of malignant neoplasm of various sites of female genital tract emphasise the relevance of histopathological analysis of all surgical specimens, which can aid in further management and prognostication.
Authors and Affiliations
Zeenat Sarmadi Imam, Kalpana Chandra, Monalisa Monalisa, Bipin Kumar, Anshuman Sinha, Anju Singh, Sanjeet Kumar Singh, Shuchismita Shuchismita
Keywords
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- EP ID EP538608
- DOI 10.14260/jemds/2018/756
- Views 62
- Downloads 0
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