Is Microscopic Assessment of Macroscopically Normal Uterovaginal Prolapse Hysterectomy Specimens Necessary? - A Study In Konaseema Region
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Hysterectomy for symptomatic genital prolapse accounts for about 15% of hysterectomies performed. The study is to know whether the histopathological examination of the hysterectomy specimens is really necessary? Hence this study was undertaken to evaluate clinical and histopathological correlation of uterovaginal prolapsed specimens, there by establishing acceptable clinical conditions for hysterectomies and also to study various histomorphological features to evaluate different patterns of lesions in the female genital tract. Material and methods: A total number of 50 uterine prolapse specimens received in the department of Pathology for the given time period are studied for their histomorphological features and correlated with the clinical findings documented in the case record forms. Results: In present study majority of the cases were obtained from premenopausal women (60%). Majority of the cases were of grade two prolapse (70%) followed by grade three. Histopathological examination showed chronic non specific cervicitis in 44 cases (88%). Three cases showed cervical intraepithelial neoplasia grade I changes and procidential changes were seen in three cases. The final histopathological diagnosis shows no malignant changes in any of the specimens. Twenty one cases showed other changes like CIN1, Adenomyosis, leiomyoma, procidential changes along with chronic non specific cervicitis. Conclusion: We concluded that examination of such uteri reveals significant pathology in very few cases. In the present study all the leiomyomas which were diagnosed are incidental and macroscopically the specimens look normal, Hence microscopic examination of these Hysterectomy specimens is necessary, sometimes which changes the management protocol and prognosis of the patient.
Authors and Affiliations
Siva Ranjan D, Uma Sai
Keywords
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