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VOL. 8, ISSUE 2 (2022)
to relate clinico-pathological findings with ultrasonographical findings in hysterectomy specimen: A retrospective study
Authors
Spandana Rao K, Bhavya H U, Geeta J Doppa
Abstract
Aim: To describe the distribution of various types of pathologies in the hysterectomy specimens and to relate histopathological findings with pre-operative clinical diagnosis and radiological findings. Material and Methods: This is a retrospective observational study conducted in the Department of Obstetrics & Gynecology and Pathology, KVGMCH, Sullia from 1st August 2020 to 31st August 2021. The study population consisted of 200 patients, who underwent hysterectomy in our hospital. Clinical data was obtained regarding age, parity, presenting complaints, radiological and other pre-operative investigation findings, surgical procedure performed, and the type of specimen sent, from patient’s record file. Results: The majority of patients were in the age group of 41-50 years (54.0%), with rural background (138, 69%), and belonged to lower-middle-class socioeconomic status (149, 74.5%). Dysmenorrhea (60, 30%) was the commonest clinical presentation. The commonest clinical indication of hysterectomy was abnormal uterine bleeding (AUB) (119, 59.5%). The most common USG finding was bulky fibroid uterus (66, 33.0%). The commonest approach for hysterectomy was laparoscopic i.e., total laparoscopic hysterectomy with bilateral salpingectomy (88, 44%). On histopathological examination of hysterectomy specimen, leiomyomas (53, 26.5%), chronic cervicitis (123, 61.5%), secretory endometrium (59, 29.5%), and b/l corpus albicans (45, 22.5%) were the commonest findings. The histopathological findings of myometrium, endometrium, and ovaries showed a statistically significant relationship with both clinical diagnosis and USG findings. Conclusion: Every hysterectomy specimen should be subjected to histopathological examination. Some pathologies can be missed clinically and ultrasonographically, so it is important to relate clinicopathological findings with ultrasonographical findings in all cases of hysterectomy, to improve the clinical outcome and post-operative management.
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Pages:32-39
How to cite this article:
Spandana Rao K, Bhavya H U, Geeta J Doppa "to relate clinico-pathological findings with ultrasonographical findings in hysterectomy specimen: A retrospective study ". International Journal of Medical and Health Research, Vol 8, Issue 2, 2022, Pages 32-39
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