Saima Perveen, Asma Ansari, Furrakh Naheed, Azra Sultana.
Pattern of Lesion in Hysterectomy Specimens and Clinical Correlation.
Pak J Med Health Sci Jan ;8(2):465-8.

Aim: To study the correlation between preoperative clinical diagnosis and histopatholological diagnosis of hysterectomy specimen. Study Design: Descriptive study. Place and duration of study: Department of Obstetrics and Gynaecology, Fatima Hospital, Baqai Medical University Karachi from November 2010 to November 2011. Methodology: Data including age, parity, presenting complaints and indication for hysterectomy was obtained from patients. Histopathology of all hysterectomy specimens was collected. Results: During one year study period a total of 81 hysterectomies were performed. Peak age incidence was 41-45 years and peak parity was 6-8. The most common presenting complaint was menstrual irregularities followed by chronic lower abdominal pain. Hysterectomy with bilateral salpingoophrectomy was performed in 52(64%) cases. Hysterectomy alone was performed in 15(18.5%) cases and 3(3.7%) patients had subtotal hysterectomy. In 34(42%) patients indication of hysterectomy was fibroid uterus followed by endometrial hyperplasia in 13(16%) cases. The commonest histopathological diagnosis made was chronic cervicitis 48(59.2%) cases which was an incidental finding in most of the cases followed by adenomyosis in 34(48%) cases. Conclusion: The final diagnosis is made on histopathology so it is compulsory to send every hysterectomy specimen for histopathology. Histopathology can diagnose unusual malignancy and thus ensuring optimal management in particular of malignant disease.

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