How Does Histopathology Correlate with Clinical and Operative Findings in Abdominal Hysterectomy ?

JAFMC Bangladesh. Vol 6, No 2 (December) 2010 18 JAFMC Bangladesh. Vol 6, No 2 (December) 2010 19 JAFMC Bangladesh. Vol 6, No 2 (December) 2010 20 Abstract Many a times the clinical and per operative diagnosis does not correlate with histopathological diagnosis. Aim of this study was to compare the clinical, peroperative and histopathological findings of different cases of fibroid uterus, dysfunctional uterine bleeding and chronic cervicitis which needed abdominal hysterectomy. In this prospective study 100 cases of abdominal hysterectomy were done over a period of two years. Among them 38% cases were of leiomyoma uterus and 20%, 18%, 12%, 7% and 5% were of dysfunctional uterine bleeding, chronic cervicitis, pelvic inflammatory disease, benign ovarian tumours and endometriosis (external and adenomyosis) respectively. Cases studied on the basis of history, clinical examination and per operative findings. Specimens were sent for histopathology and reports were analyzed. It was thus co-related with the clinical presentation and per operative findings. Among 100 cases, 38 cases were of myoma diagnosed clinically but histopathological findings of 8 patients were different (adenomyosis in 6 cases and normal finding in 2 cases). Among 20 cases of clinically diagnosed dysfunctional uterine bleeding, 6 cases were found to have myoma and adenomyosis on histopathological examination.