The Pathologic Spectrum of Prolapsus Uteri: Histopathologic Evaluation of Hysterectomy Specimens

Müezzínoğlu, Bahar; Döğer, Emek; Yıldız, Demir Kürşat

doi:10.1089/gyn.2005.21.133

Cited by 6 publications

(6 citation statements)

References 4 publications

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“…Leiomyoma and simple hyperplasia without atypia of endometrium were the two frequent incidental findings in this study, their respective percentages being 29.9 and 18.2%. Leiomyoma has been reported elsewhere as the most common incidental finding in the hysterectomy specimens, the percentage being similar to our study 1,2,4 …”

Section: Discussionsupporting

confidence: 92%

Usefulness of histopathological examination in uterine prolapse specimens

Mahajan

Kotru

Batra

et al. 2011

Australian and New Zealand Journal of Obstetrics and Gynaecology

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Section: Discussionsupporting

confidence: 92%

Usefulness of histopathological examination in uterine prolapse specimens

Mahajan

Kotru

Batra

et al. 2011

Australian and New Zealand Journal of Obstetrics and Gynaecology

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“…6 Other studies have reported a slightly higher incidence of malignant endometrial tumor which could possibly be because of smaller sample size. 7,8,9 Ovarian tumours are tumours arising from the ovary. They can be benign or malignant.…”

Section: Discussionmentioning

confidence: 99%

Spectrum of Lesions in Hysterectomy Specimens- A One Year Retrospective Study

Maisnam¹,

B.J²,

Hasan³

2018

jebmh

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BACKGROUND Hysterectomy is the most commonly performed gynaecological surgery throughout the world. The prevalence varies from country to country, region to region. This study was conducted to identify the most common pathologies in hysterectomy specimens and also to know the most common age group undergoing hysterectomies. In this study, the most common pathologies were atrophic endometrium in endometrium, leiomyoma in myometrium, chronic cervicitis in cervix, ovarian cysts in ovaries and salpingitis in fallopian tubes. The most common age group was 40-49 years followed by 50-59 years group. Type of hysterectomy performed most commonly in this study was trans abdominal hysterectomy (TAH). Abnormal uterine bleeding, fibroid and uterovaginal prolapse were the most common clinical indications of hysterectomy. The pathological examination confirmed the clinical diagnosis in majority of the cases. Hysterectomy still remains the widely used treatment modality in developed and developing countries. MATERIALS AND METHODS This is a retrospective study consisting of 160 cases of hysterectomy specimens received in the

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“…[ 17 ] Chronic cervicitis was much more as compared to different studies,[ 6 13 18 19 ] whereas myometrium lesion – adenomyosis was less as compared to study by Muezzinoglu et al . [ 18 ] Comparison between histopathological findings by other authors is as shown in Table 3 .…”

Section: Discussionmentioning

confidence: 99%

“…Few studies have found simple hyperplasia and endometrial polyp,[ 9 13 ] Similar to our study, adenomyosis seen in 21% cases was the nonmalignant finding in the myometrium, whereas leiomyoma was not seen in the present study, but it was seen in as high as 29.9% in studies by few authors. [ 9 13 18 ] The leiomyoma was large enough to be diagnosed on the gross examination ranging in diameter from 0.5 to 5 cm. [ 13 18 ]…”

Section: Discussionmentioning

confidence: 99%

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Uterine prolapse: Should hysterectomy specimens be subjected for histopathological examination?

Awale¹,

Isaacs²,

Singh³

et al. 2017

J Mid-life Health

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Context:Uterine prolapse accounts for one of the common gynecological problems in India. The excised uterus is not expected to have any pathological finding other than atrophic endometrium and may be an ulcer because of the prolapse.Aims:The aim of this study is to assess the hysterectomy specimen for unsuspected pathology.Subjects and Methods:The study is done over two and half years at a tertiary care hospital. Hysterectomy specimens done with a clinical indication of prolapse were included in the study. Histopathological examination done, findings noted, and data analyzed.Statistical Analysis Used:Descriptive analysis was used in this study.Results:Of the total hysterectomy specimens, 55 (6%) were done for uterovaginal prolapse. Patients age ranged from 32 to 78 years; mean 51.1 ± 11.9 years. Majority (46; 83.6%) of the patients were above 40 years of age, whereas only (9; 16.4%) were < 40 years of age (P < 0.0001) Vaginal hysterectomy was done in most 38 (69.1%) cases as compared to abdominal hysterectomy in 17 (30.9%) cases (P < 0.001). Adnexae were removed in only 3 (5.5%) cases as compared to 52 (94.5%) cases, in which adnexae were preserved (P < 0.001). Chronic cervicitis was seen in 100% of cases. Majority (18:32.7%) of the endometrium was in atrophic phase, secretory in 8 (14.5%), cystic regressive hyperplasia and chronic endometritis in 4 (7.2%) each. Myometrium was unremarkable in 43 (79%) cases, whereas focal adenomyosis in 12 (21%) cases. All the adnexa received were histologically unremarkable.Conclusions:Grossly unremarkable specimens can have unsuspected histopathological lesion which could be potential premalignant or malignant lesions. Therefore, all hysterectomy specimens should be subjected to the histopathological examination for accurate diagnosis and proper categorization of lesions.

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The Pathologic Spectrum of Prolapsus Uteri: Histopathologic Evaluation of Hysterectomy Specimens

Cited by 6 publications

References 4 publications

Usefulness of histopathological examination in uterine prolapse specimens

Usefulness of histopathological examination in uterine prolapse specimens

Spectrum of Lesions in Hysterectomy Specimens- A One Year Retrospective Study

Uterine prolapse: Should hysterectomy specimens be subjected for histopathological examination?

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