ISSN No. 2079-8547 (Recognized by PMDC)
HYSTERECTOMY: A CLINICOPATHOLOGICAL CORRELATION
Abstract
Objective: Histopathological pattern of lesions in abdominal hysterectomies at a tertiary care hospital.
Study Design: Retrospective Study
Place and duration: This study was conducted at the pathology department and department of gynecology & obstetrics,
Hayatabad Medical complex Peshawar from Jan 2008 to Dec 2012.
Materials and Methods: 861 abdominal hysterectomy cases were included in the study. Vaginal hysterectomies and
abdominal hysterectomies done for malignancies were excluded. A minimum of two sections were taken from the cervix,
two from uterine corpus, one section each from small leiomyomas and two or more depending on the size from the
larger lesions. Sections (3-5 μ), stained with hematoxylin and eosin (H&E) were microscopically examined and reported.
Results: 861 abdominal hysterectomy cases were included in the study. In our study 398 (51%) patients were 31-40
years age group, 373 (47.8%) from 41-50 years age group, 47 (6 %) from 51-60 years age group, 28 (3.5%) from more
than 60 years age group and 15 (1.9%) were from 21-30 years age group. 216 (27.7%) cases showed leiomyomas
and adenomyosis in 146 (18.7%) cases. While 150 (19.2%) cases revealed dual pathology of both leiomyomas and
adenomyosis. In 85 (0.9%) of cases no gross or microscopic abnormality was detected.
Conclusion: Uterine fibroids and adenomyosis were the most common benign lesions. The peak incidence was between
31-40 years age group. These two lesions most frequently occur together. Histopathology is mandatory for confirming
diagnosis. Clinicopathological correlation is important.
Key words: Hysterectomy, Leiomyomas, Adenomyosis, Histopathology