Background: Hysterectomy is considered the gold standard gynecological procedure and is performed all over the world for the treatment of benign and malignant disorders.
Aim & Objective: To study the clinical indication, gross and histopathological features of the uterus and cervix in hysterectomy specimens and correlate with clinical findings.
Material & Methods: A retrospective was conducted in the Department of Pathology from Aug 2020 to Aug 2022. The total duration of the study was two years. The gross and histopathological findings of 70 hysterectomy specimens received in the department of pathology. Surgical specimens were fixed in formalin and tissues were adequately processed from them and stained with hematoxylin and eosin. A thorough microscopic examination of the stained slide was carried out & a histopathological diagnosis was made. The histopathological findings of the hysterectomy specimen were noted and then correlated with the clinical findings.
Results: A clinicopathological correlation was noted in 70 cases. The endomyomatrium was the most commonly seen in 39 cases, the cervix in 20 cases, and the ovary in 11 cases. The incidence of chronic cervicitis was high, followed by squamous metaplasia, carcinoma of the cervix, nabothian cysts, and cervical leiomyoma. The most common lesion among the endometrium was hyperplasia without atypia, followed by endometrial polyps, endometrium carcinoma, and atypical hyperplasia. Among the myometrium lesions leiomyomas were the most common followed by adenomyosis. Among the ovarian lesions were simple cysts, corpus luteal cysts, follicular cysts, fibroma, and serous cystadenoma.
Conclusion: This study found a good correlation between clinical indication and histopathology in benign and malignant pathologies. All the hysterectomy specimens should be sent for histopathological examination to ensure better post-operative management, especially
in malignant diseases.