Background: It is not uncommon for most women to suffer from
abnormal uterine bleeding (AUB) at some point of their lifetime
which results in anemia, interferes with daily activities and
raises concern about uterine cancer and they frequently undergo
hysterectomy in our country. Aim and Objective: 1. To evaluate the
prevalence of adenomyosis, leiomyomas and of their concomitance
in hysterectomy specimens. 2. To study the type of leiomyomas
on the basis of their location in uterus. Materials and Methods: A
retrospective study of 120 pathological specimens those underwent
hysterectomy during the period of January 2015 to December
2018. Data including age, symptoms and clinical indication for
hysterectomy was collected for the study. The specimens were
processed routinely and stained with haematoxylin and eosin
stain and examined microscopically. We looked for prevalence of
adenomyosis alone, of leiomyomas alone and of their concomitance
were evaluated. Results: Mean age of the patients was 45.2 years.
Pathological findings included adenomyosis in 25%, leiomyoma
in 60%, and both in 15%. 72 specimens had fibroid which were
evaluated for number and its location. Conclusion: leiomyoma
was the most common histopathological finding in hysterectomy
specimens and prevalence of adenomyosis in our study was nearly
equal. So gynecologist must pay attention to adenomyosis as one of
the common underlying causes of AUB.
Keywords: Hysterectomy; Abnormal Uterine Bleeding;
Adenomyosis Leiomyoma.