CLINICOPATHOLOGICAL STUDY OF UTERINE LEIOMYOMAS IN HYSTERECTOMY SPECIMENS
| Autor: | Geetha Mala, Mangala Gowri, Srinivasa Murthy, Vedavathy Nayak |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Gynecology
medicine.medical_specialty Hysterectomy Uterine leiomyoma business.industry Obstetrics medicine.medical_treatment Ovary Retrospective cohort study medicine.disease female genital diseases and pregnancy complications medicine.anatomical_structure Medicine Abdomen Adenomyosis Histopathology business Benign Uterine Neoplasm |
| Zdroj: | Journal of Evolution of Medical and Dental sciences. 2:9002-9009 |
| ISSN: | 2278-4802 2278-4748 |
| DOI: | 10.14260/jemds/1563 |
| Popis: | OBJECTIVE: Leiomyomas are the most common benign uterine neoplasms in women of reproductive age group. This study is undertaken to analyse various gamut of clinical and histopathological changes in hysterectomy specimens with uterine leiomyomas. MATERIAL & METHODS: A 3 year retrospective study conducted in the Dept. of Pathology and Obstetrics & Gynecology ESIC Medical College & PGIMSR, where in 259 hysterectomy specimens clinically diagnosed as uterine leiomyomas were subjected to histopathological examination and relevant clinical data analyzed. RESULTS: Leiomyomas occurred mostly in multiparous women aged 31-50 years (90.3%). Menorrhagia (49.03%) and pain abdomen (30.5%) were the chief clinical manifestations. Endometrial pattern commonly seen were proliferative and hyperplastic endometrium together accounting for 69.1% and associated adenomyosis (29%). One case each of tuberculosis and granulosa cell tumor of ovary was noted. CONCLUSION: Though hysterectomy is a routine procedure in the management of uterine leiomyomas, occasional cases of tumor or infective pathology may be missed. Therefore histopathology is mandatory for confirmed diagnosis and ensuring optimal management. |
| Databáze: | OpenAIRE |
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