Clinico- Pathological Correlation of Abdominal Hysterectomy Specimens

Ebinesh A, Dr Sharada M S, Dr Krishna M C

Abstract: Objective To study the most common pathological abnormalities identified in abdominal hysterectomy specimens and to correlate the findings with the clinical indications. Material and Methods A retrospective study of total 141 abdominal hysterectomy specimens received between March 2014 and February 2015 in the department of Pathology, Shridevi Institute of Medical Sciences & Research Hospital was carried out. Histopathological diagnoses of the hysterectomy specimens were compared with their clinical indications. Results The commonest age group for abdominal hysterectomy was between 41- 50 years. Commonest indication was dysfunctional uterine bleeding (DUB) in 58.8 % cases followed by fibroid 21.9 % and Chronic PID 11.3 %. Other indications were endometrial polyp, ovarian mass and Placenta accreta. Ultrasonography revealed bulky uterus in majority. Out of 58.8 % of clinically diagnosed DUB (83) cases, 46.5 % of cases (38) had a definitive pathology of adenomyosis while 28 % (23) showed Leiomyoma with cystoglandular changes. Two cases of Cervical Intraepithelial Neoplasia III were found on histopathological examination. Conclusion The commonest indication and histological finding in our setting were DUB and Leiomyoma respectively. Histopathological findings in present study corroborates well with the preoperative clinical diagnoses and or indications of the hysterectomy procedure. Histo-pathology is mandatory for ensuring diagnosis and further management.

Keywords: Hysterectomy, Histopathology, DUB, Leiomyoma, Adenomyosis