PATTERN OF HISTOPATHOLOGICAL LESIONS IN UTERINE CORPUS OF HYSTERECTOMY SPECIMENS

Abstract

Background: Hysterectomy is one of the common gynecological surgical procedures throughout the world. The objective of this study was to see the pattern of histopathological lesions in uterine corpus of hysterectomy specimens.
Material & Methods: This descriptive study conducted in Bannu Medical College, Bannu, Pakistan from January 2011 to April 2014. A total of 160 abdominal hysterectomies were included in the study. The inclusion criteria was only abdominal hysterectomies with corpus uterine lesions of any age, where as an exclusion criteria was vaginal hysterectomies and lesions of cervix, fallopian tubes and ovaries as well as normal corpus hysterectomies. A minimum of two sections and a maximum of six sections were taken from corpus lesion of the uterus. Sections 5 micron thick were stained with H&E and reported by Histopathologist.
Results: A total of 160 hysterectomies were included in this study with an age range from 25 to 70 years. The most common age encountered was between 40-49 years, 76 cases (47.5 %). The common histopathological lesion was leiomyoma 66 cases (41%) followed by adenomyosis 51 (32 %) and endometrial polyps 15 (09 %), whereas malignant tumors were endometrial adenocarcinoma 03(1.87%), endometrial stromal sarcoma, leiomyosarcoma and carcinosarcoma were each 01(0.6%).
Conclusion: Leiomyoma and adenomyosis are the common benign lesions in hysterectomy specimens.