Adenomyosis and co-existing Pathologies in Hysterectomy Specimen: Four Year Experience at the National Institute of Health, Islamabad

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Professor, Consultant Pathologist, American Board Certified Pathologist, Fellow College of American Pathologists. Areas of interest Fine Needle Aspiration Cytology, Cytology, Cancer, Ethics, Islam, Humanity

Adenomyosis and co-existing Pathologies in Hysterectomy Specimen: Four Year Experience at the National Institute of Health, Islamabad

Athar Saeed Dil, Faheem Tahir, Farida Ahmed and Arshad Mumtaz

National Institute of Health, Islamabad

 

Objectives: To determine the frequency of adenomyosis and co-existing pathologies in the received hysterectomy specimens and to correlate the findings with the clinical diagnosis.

Study Design: A descriptive study carried out for four years from January 1994 to December 1997. All received hysterectomy specimens were histologically diagnosed and data analysed. The clinical information of specimen which showed adenomyosis and other co-existing pathologies was collected from the request Proformas as well as from the clinicians..

Methodology & Results: One thousand one hundred and ninety one (1191) hysterectomy specimens were received in the Histopathology Department of the National Institute of Health (NIH), Islamabad, during the period from January 1994 to December 1997. Adenomyosis was found in 645 of the 1191(54.16%) specimen. The other co-existing pathologies in these hysterectomy specimen were chronic cervicitis in 447 (69.30%) specimen and fibroids in 218 specimens (33.8%) specimen. Chronic nonspecific endometritis was seen in 104 (16.12%), endometrial polyps in 50 (7.75%) and endometrial tuberculosis was found in 4 (0.62%) specimen.

Conclusion: In this study the occurrence of adenomyosis was seen in age group ranging from 31-50 years, which is comparable to some studies and contrary to some others. However the clinical symptoms and parity did correlate to most of the studies.

Keywords: Hysterectomy, Adenomyosis, Dysfunctional Uterine Bleeding.

         

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