Abstract

Abstract: The uterine cervix is prone for several non-neoplastic and neoplastic lesions. If the non-neoplastic lesion is misdiagnosed as a malignant it can lead to serious consequences. Therefore, the histopathology is the best diagnostic tool for the diagnosis of non-neoplastic cervical lesions. The present study was undertaken with the aim to establish the prevalence and histopathological patterns of non-neoplastic cervical lesions in Teaching Hospital, Batticaloa, Sri Lanka. Further, and the incidence of lesions was studied with respect to age of the subjects and their clinical presentation. A total of 456 cases of non– neoplastic lesions of uterine cervix were undertaken for this study. The material consists of cervical biopsy both from punch biopsy or cone biopsy and from cervical polypectomy. A relevant clinical profile of retrospective cases was taken from laboratory case records. Of the 456 non-neoplastic cervical specimens, 355 were from cervical biopsy either punch, cone biopsy and 87 from the cervical polypectomy and remaining 14from the amputated cervix. The age of patient in this study were ranges from 19-84 years with peak age of non-neoplastic lesions of cervix in our study was 40-49 years and accounts for 40.6%.According to presentation, about 20.4% of the patients presented with whitish per vaginal discharge. !8.9% of the women presented with the mass in the vagina. While abnormal menstruation (irregular menses and excessive bleeding) was the presentation in 48.9% of the patients, 6.1 % of the patients had post coital bleeding. Only 5.7% of the patients presented with abdominal pain. Majority of the non-neoplastic lesions of the cervix are inflammation the cervix and cervical polyp, constitute 41.4% and 19.7% respectively. The chronic nonspecific cervicitis was the most common inflammatory lesion constituting 86.2% of cases. The effectiveness of Pap smear test in detecting cervical precancers, easy accessibility to cervix by colposcopy and biopsy are the best tool for early detection and eradication of preinvasive lesions. PAP smears would have avoided cervical biopsy under general anaesthesia. Keywords:Non-Neoplastic Cervical Lesions of Uterus.

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