Histopathology diagnosis in women who underwent a hysterectomy for a benign condition

Saleh, Shawqi; Fram, Kamil

doi:10.1007/s00404-011-2152-y

Cited by 15 publications

(14 citation statements)

References 19 publications

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“…Saleh SS et al found around 40% of patients having heavy menstrual flow. 13 Similar results were shown by Saldanah CL et al 14 The reason behind may be due to noncompliance with the medical therapy. The next common symptom was pain abdomen which was also observed in other studies done in Nepal.…”

Section: Discussionsupporting

confidence: 63%

Study On Clinical Profile of Patients Undergoing Abdominal Hysterectomy and Their Clinico-Pathological Correlation

et al. 2019

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Background: Hysterectomy is an effective treatment for a wide range of gynaecological diseases, both benign and malignant. There must be a periodic audit for the appropriate indication of the surgery and its complication rate. Histopathological analysis is mandatory for definitive diagnosis and further management. This study aims to review the clinical profile, indications of hysterectomy and to assess the correlation between the clinical diagnosis and histopathological report. Methods: A retrospective study of all the patients undergoing abdominal hysterectomy was conducted in the Department of Obstetrics and Gynecology, Chitwan Medical College Teaching Hospital, Nepal from January to December 2018. Demographic and clinical informations were retrieved from the medical record section. Datas were entered in the pre-designed proforma. Statistical analysis was done in terms of percentages, standard deviation, correlation and mean. Results: During the study period, 111 patients underwent abdominal hysterectomy. The mean age of the patients was 46 years. The mean duration of hospital stay was 8.7 days. Abnormal menstrual flow and pain abdomen were the commonest presenting symptoms. The most common preoperative diagnosis was fibroid followed by ovarian tumor. Leiomyoma was the commonest lesion on histopathological examination. The correlation between clinical diagnosis and histopathology was 96.07% for fibroid, 80.95% for ovarian tumor, 66.67% for adenomyosis and 38.46% for DUB. Conclusions: Fibroid uterus and ovarian mass are the common indications for abdominal hysterectomy. Histopathology is mandatory for confirming the diagnosis, proper counseling and holistic management of the patient.

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Section: Discussionsupporting

confidence: 63%

Study On Clinical Profile of Patients Undergoing Abdominal Hysterectomy and Their Clinico-Pathological Correlation

et al. 2019

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“…The prevalence of adenomyosis in our large cohort of 1697 patients who underwent hysterectomy was 43.3%, which is within the range of reported prevalence but appears to be slightly higher than some recently reported studies . Difference in race and ethnicity aside, many other factors could be attributed to the difference, such as the difference in the proportion of referral patients, and inclusion criteria for hysterectomy.…”

Section: Discussionsupporting

confidence: 63%

Clinical profiles of 710 premenopausal women with adenomyosis who underwent hysterectomy

Liu

Guo

2013

J of Obstet and Gynaecol

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“…In this study, the most common clinical indication for hysterectomy was uterine leiomyoma in 42.96% (229/533) cases followed by uterovaginal prolapse in 18.95% (101/533) cases which was consistent with the data reported by Nisa et al, 14 (33% and 19%, respectively) and Siwatch et al, 15 (39% and 22.6%, respectively). Menorrhagia was the most common indication in similar studies by Rather et al, 13 (35.43%) and Saleh et al, 16 (39%) whereas uterovaginal prolapse was the commonest indication in a study by Jha et al, 9 (37.1%).…”

Section: Discussionmentioning

confidence: 72%

“…Similar observation was made in the studies by Abdullah 18 13 (4.44%). However, in a study by Saleh et al, 16 a much higher incidence (12.41%) of endometrial hyperplasia was reported.…”

Section: Discussionmentioning

confidence: 83%

Patterns of Lesions in Hysterectomy Specimens in a Tertiary Care Hospital

Vaidya

Vaidya²

2015

J Nepal Med Assoc

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Introduction: Hysterectomy is one of the most common gynaecological procedures performed all over the world. The most frequent indications for hysterectomy are fibroids, abnormal uterine bleeding uterovaginal prolapse and endometriosis. The objective of this study was to present the histopathological patterns of various uterine and adnexal pathologies in the hysterectomy specimens and also to correlate its pre-operative clinical diagnosis with histopathology. Methods: This is a two-year descriptive study of hysterectomy specimens carried out in the Department of Pathology, Patan Academy of Health Sciences (PAHS), Lalitpur, Nepal. Data of all the hysterectomy specimens collected during this period was analyzed. Results: Out of the 533 cases, fibroid was the most common indication for hysterectomy that was seen in 229 (42.94%) cases followed by uterovaginal prolapse in 101 (18.93%) cases. Leiomyoma was the most common pathology reported in 250 (46.90%) hysterectomy specimens, followed by ovarian tumours in 95 (17.82%) cases. In 17.82% (95/533) cases, no pathology was seen. Overall, the pre-operative indications in 533 cases of hysterectomy were histopathologically verifiable in 487 (91.37%) cases. Conclusions: Though the histopathological examination correlates well with the pre-operative clinical diagnosis, a number of lesions were also encountered as pure incidental findings. Hence, it is mandatory that every hysterectomy specimen should be subjected to histopathological examination so as to ensure better post-operative management. Keywords: adenomyosis; hysterectomy; leiomyoma; tumour; uterovaginal prolapse.

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Histopathology diagnosis in women who underwent a hysterectomy for a benign condition

Cited by 15 publications

References 19 publications

Study On Clinical Profile of Patients Undergoing Abdominal Hysterectomy and Their Clinico-Pathological Correlation

Study On Clinical Profile of Patients Undergoing Abdominal Hysterectomy and Their Clinico-Pathological Correlation

Clinical profiles of 710 premenopausal women with adenomyosis who underwent hysterectomy

Patterns of Lesions in Hysterectomy Specimens in a Tertiary Care Hospital

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