Volume: 5 Issue: 2
Year: 2017, Page: 54-58,
Introduction: The Uterus is subjected to various disorders, which include inflammatory, hyperplastic and neoplastic disorders. Many treatment options are available including medical and conservative surgical but hysterectomy still remains the most common gynaecological procedure performed worldwide.This study was conducted to know the incidence of various uterine corpus lesions in Abdominal hysterectomy specimens and to know the age wise distribution of the lesions.
Materials and Methods :This is a seven years study, conducted in the department of Pathology, Kurnool Medical college, Kurnool. This study included five years retrospective (1998-2002) and two years prospective study (January 2003 – December 2004). The inclusion criteria was abdominal hysterectomy specimens with uterine corpus lesions, exclusion criteria was vaginal hysterectomy specimens, cervical, ovarian and tubal pathology lesions.
Results :Total cases studied were 622 and age range was 19 to 66 years. Most common age group encountered was 30-39 years, comprising 316 cases, making 50.8% of total cases. Most common uterine corpus lesion observed was Leiomyoma, seen in 443 cases(71.2%), followed by Adenomyosis, 87 cases (13.9%), endometrial polyp, 46 cases(7.4%). In malignant lesions of uterine corpus most common malignant lesion was Endometrial Carcinoma. Other malignant lesions received were three cases of Endometrial Stromal Sarcoma, one case of Carcinosarcoma.
Conclusion : Most common uterine corpus lesion was Leiomyoma followed by Adenomyosis.In malignant disorders most common was Endometrial carcinoma.
Keywords: Hysterectomy, Uterine corpus lesions, Leiomyoma, Adenomyosis, Endometrial polyp, Endometrial carcinoma.
1) Wu JM, Wechter ME, Geller EJ. Hysterectomy rates in the United States 2003. Obstet Gynaecol. 2007;110(5):1091-5.
2) Nausheen F, Iqbal J, Bhatti FA, Khan AT, Sheikh S. Hysterectomy: The patient’s perspective. AnnalGynecol. 2004;10:339-41.
3) Jones H W III Abdominal Hysterectomy, in : Rock J A, Jones H W III (eds.) Te Linde’s Operative Gynecology. Seventh Indian Reprint. New Delhi, India ; Wolters Kluwer(India) 2014 ; P.727-743.
4) Jaleel R, Khan A, Soomro N. Clinicopathological study of abdominal hysterectomies.Pak J Med Sci 2009;25(4):630- 34.
5) Chandralekha J et al. Int J Res Med Sci. 2016 jul;4(7):2583- 2587.
6) Payson M, Leppert P et al (2006) Epidemiology of myomas. Obstet Gynecol Clin N Am 33(1):1-11.
7) Vollenhoven B (1998) Introduction: the epidemiology of uterine leiomyomas.Baillieres Clin Obstet Gynaecol 12(2):169-176.
8) jamal S. Baqai S. A clinicopathological analysis of 260 Hysterectomies. Pak J Pathol 2001;12(2): 11-14.
9) Shergill SK, Shergill HK, Gupta M, Kaur S.Clinicopathological study of hysterectomies.J Indian Med Assoc 2002; 100(4): 238-39.
10) Abdullah LS. Hysterectomy: A Clinicopathologic correlation. Bahrain Medical Bulletin 2006; 28(2): 1.
11) Rather G R, Gupta Y, Baradhwaj S, Patterns of Lesions in Hysterectomy Specimens: A Prospective study .JK science, 2013;15(2):63-68.
12) Weiss G, Maseelall P,Scott LL, Brockwell SE, Schocken M, Johnston JM. Adenomyosis a variant, not a disease?Evidence from hysterectomised menopausal women in the study of women’s Health Across the Nation(SWAN). Fertile Steril 2009; 91(1): 201-6.
13) Shrestha A, Shrestha R,Sedhai LB, Pandit U. Adenomyosis at hysterectomy:prevalence,patient charactersics, clinical profile and hystopathological findings. Kathmandu Univ Med J 2012;37(1): 53-56.
14) LevGur M Abadi MA et al (2000) Adenomyosis: Symptoms, histology, and pregnancy terminations. Obstet Gynecol 95(5):688-691.
15) Sarfraz T, Tariq H. Histopathological findings in menorrhagia-a study of 100 hysterectomy specimens. Pak J Pathol 2005;16(3): 83-85.
16) Perveen S, Tayyab S. A clinicopathological review of elective abdominal hysterectomy. J Surg Pak 2008; 13(1) :26-29.
17) Sajad M, Iltaf S, Qayyam S. Pathological findings in hysterectomy specimens of patients presenting with menorrhagia in different age groups. Ann pak Inst Med Sci 2011; 7:160-2.
18) Sajjad M, Akram M, Khan ZA, Ghafoor A. Pattern of histological lesions in uterine corpus of hysterectomy specimens. Gomal J Med Sci 2015; 13: 58-61.
19) Rather GR, Gupta Y, Bardhwaj S. Pattern of lesions in hysterectomy specimens. J K Science 2013; 15:63-8.
20) Rose PG, Endometrial carcinoma.N Engl J Med 1996,335: 640-649.
Sharadrutha A, Janaki M. Spectrum of Uterine corpus lesions in hysterectomy specimens. Perspectives in Medical Research 2017;5(2):54-58.