Histopathological spectrum of hysterectomy specimen in a tertiary care hospital from Kashmir valley
Authors: Bushra Rashid Sahaf, Annu Charak, Irfan Ahmed, Rehana Qadir, Abdul Rashid Rather
Abstract:Background: Hysterectomy is considered to be the most definitive treatment option for various diseases which cause abnormal uterine bleeding and uterine malignancies which include cervical as well as endometrial. It is also the treatment for prolapse uterus and forms part of the completion surgery in case of ovarian malignancies. The aim of our study was to determine the spectrum of pathologies in the hysterectomy specimens and its correlation of preoperative diagnosis with histopathological diagnosis. Methods:This was a retrospective study conducted in the department of Pathology SKIMS MCH Bemina, Srinagar over a period of one year. It includes all hysterectomy specimen, elective as well as emergency.Results:The cases were broadly categorised according to the preoperative clinical indications of hysterectomy into six major groups as Uterine pathology(63.8%) , Procidentia& Repair(17.46%) , Ovarian pathology(7.93%). Other common indications were obstetric causes (4.76%), cervical pathology (2.38%) and miscellaneous causes(3.57%). Leiomyoma(49.06%) was the most common histopathological diagnosis.Conclusion: In our study 161 cases who presented with abnormal uterine bleeding, the organic pathology was noted in 75.7% cases while 24.2% cases did not show any definitive pathology.
Published on: 18-07-2018