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Objective: To determine the common pattern of leisons identified in hyterectomy specimens and to correlate
the histopathological findings with clinical indications.
Study Design: ADescriptive study.
Place and Duration of Study: Study was conducted in the Department of Obstetrics and Gynaecology of Red
st st
Crescent Medical College Hospital from 1 July 2015 to 1 July 2017.
st st Materials and Methods: In the period between 1 July 2015 to 1 July 2017 data including Age, Parity,
Presenting complaints and indication for hysterectomy was obtained from patients. The type of hysterectomy
was also reported. Specimens were preserved in 10% Formalin. Histopathology results of all hysterectomy
specimens were collected.
Results: During two year study a total of 100 hysterectomies were performed. The patient age ranged between
35-60 years with an average of 45 years old and peak parity was 4-8. The most common presenting complaint
was menstrual irregularities followed by lower abdominal pain. Hysterectomy with bilateral salpingooophrectomy was performed in 75% of cases. Hysterectomy alone was performed in 15% and in 10% of cases
vaginal hysterectomy was performed. In 35% cases the indication of hysterectomy was fibroid uterus followed
by dysfunctional uterine bleeding in 15% of cases. The commonest histopathological diagnosis made was
chronic cervicitis i.e in 42% cases, which was an incidental finding followed by fibroid uterus in 40% of cases.
Conclusion: This study confirms that benign diseases are more common than their malignant counterparts and
the most common pathology identified is chronic cervicitis.The clinical and histopathological correlation is
100% in case of leiomyoma, cervical and endometrial polyps. Seventy four cases were correlated clinically with
histopathological diagnosis.
Kishwar Naheed, Abid Hussain, Riasat Ali. (2018) Clinico-Pathological Study of Hysterectomy at Pak Red Crescent Medical and Dental College , Journal of Islamic International Medical College, Volume-13, Issue-2.
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