Histopathological spectrum of uterine lesions in hysterectomy specimens

Abstract

Introduction: The most common complaint of women visiting hospital in the gynaecological outpatient department is abnormal uterine bleeding. Our aim is to do a retrospective study and analyze the histopathological specimen of patients undergoing hysterectomy with complaint of vaginal bleeding. Material and Methods: All hysterectomy specimens fixed in 10% formalin received in the department of pathology were examined and studied for histopathological diagnosis. Specimens were grossed, paraffin embedded tissue sections were prepared and stained with hematoxylin and eosin for microscopic examination. Results: A total of 55 hysterectomies specimen were received in the Department of pathology in a study period of 1 year. Out of 55 patients 2 patients underwent unilateral salpingo-oopherctomy and 12 patients underwent bilateral salpingo-oopherectomy. Most common findings after histopathological study were chronic cervicitis in 48(87.3%) followed by leiomyoma in 20(36.4%), adenomyosis in 12 (21.8%) and endometrial hyperplasia in 2 (3.6%) women. Cervical malignancies were observed in 2 cases. Patients undergoing salpingo-oopherectomy showed cystic changes in 7 ovaries with corpus luteal cyst in 3 cases and 3 follicular cyst in cases. Fallopian tube were pathologically unremarkable in most cases with paratubal cyst in 1 case. Ovarian neoplasm were reported in 1 patient.