To study degenerative changes and variants of leiomyoma in hysterectomy specimens

Abstract

To know the incidence of leiomyoma in hysterectomy specimens and study the degenerative changes of leiomyoma and its variants. A prospective study of 1000 hysterectomy specimens was done. All the chief complaints, gross features and microscopic findings were recorded. The most common benign lesion found was leiomyoma in 55.4% cases followed by adenomyosis in 32.5% cases. Majority of leiomyoma cases (99.2%) were usual leiomyoma. 2 variants of leiomyoma, 1 case of cellular leiomyoma and other case of mitotically active leiomyoma were found. Leiomyoma was the most common pathology found in hysterectomy specimens in our study which is also true for other countries. Adenomyosis identified on histopathological examination was seen to be an important lesion in cases presenting with DUB. Hence, cases presenting with DUB should be thoroughly evaluated to rule out any underlying pathology.