Hysterectomy: A Clinicopathologic Study

S. Pity.Jalal A. Jalal, Intisar; A. Hassawi, Bashar

	Hysterectomy: A Clinicopathologic Study
Medical Journal of Tikrit
Article 1, Volume 2, Issue 172, 2016, Pages 7-16
Authors
Intisar S. Pity.Jalal A. Jalal; Bashar A. Hassawi
Abstract
To study the most common pathologies identified in hysterectomy specimens in Duhok and Erbil, and to correlate the findings with the clinical indications. Descriptive study. All hysterectomy specimens in the period between January 2007 and December 2008 were studied. Data including age, parity, indication and route of hysterectomy was collected from files of histopathology for detailed study. The specimens were processed routinely & stained with hematoxyllin and eosin stain and the histopathological examination was done by the pathologists. The clinical and pathological correlation was estimated. Departments of histopathology at Duhok and Erbil hospitals. Three hundred and ninety one hysterectomy specimens seen over the two year study period were studied. Women aged 40-49 years accounted for the highest number of cases, Hysterectomy was most often performed for abnormal vaginal bleeding (50.4%), followed by uterine leiomyoma (24.6%) and benign ovarian lesions (20.2%). Abdominal hysterectomy was the preferred approach (99.5%) for cases other than uterovaginal prolapse (0.5%) in which the vaginal route was performed. The most common pathology identified was leiomyoma (21.5%) followed by adenomyosis (20.4%) & ovarian corpus luteum cyst (13.0%). In 24.8% of cases, the specimens were normal grossly and microscopically. Benign pathologies were more common in hysterectomy specimens than their malignant counterparts with predominance of leiomyoma and adenomyosis amongst the benign conditions. The clinical and pathological correlation was 100% in cases of malignancy. There was clinical underestimation of leiomyoma, and benign ovarian lesions
Keywords
Hysterectomy

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