RETROSPECTIVE STUDY OF HISTOPATHOLOGY OF CERVIX IN HYSTERECTOMY SPECIMEN OF WOMEN WITH PERIMENOPAUSAL BLEEDING

DR. PRADEEP GANIGA; DR. Ganga patil

Volume : VI, Issue : X, October - 2016

RETROSPECTIVE STUDY OF HISTOPATHOLOGY OF CERVIX IN HYSTERECTOMY SPECIMEN OF WOMEN WITH PERIMENOPAUSAL BLEEDING

Dr. Pradeep Ganiga, Dr. Ganga Patil

Abstract :

Introduction – Excessive and abnormal menstrual bleeding is the commonest symptom which ings a perimenopausal woman to the hospital. This age group is more amenable to serious conditions like genital cancer; hence this bleeding should be seriously evaluated to exclude the life threatening conditions by easily available investigating modalities like ultrasonography (USG) and biopsy before deciding their line of treatment (1). Aims and objectives – To determine the most common histopathology of cervix correlating it with the endometrial histopathology and type of bleeding in perimenopausal women who have under gone total abdominal hysterectomy for a nonmalignant condition , at a tertiary care centre in AJ institute of medical sciences and research centre. Materials and method –It is retrospective study, hysterectomies done between the period of June 2013 to June15 specimens are included. The criteria of selection of patients was age above 40 years and where abdominal hysterectomy was carried out to alleviate symptoms of abnormal and excessive bleeding.Specimens were sent to Histopathology Department in formalin with complete clinical details. data is collected from old files from MRD and analyzed. Results : In this study 49% of the patients presented with abnormal uterine bleeding were between age group of 40 to 45 years and non secretory endometrium was most common histopathology (42%) and the menorrhagia was the most common type of bleeding pattern, and chronic cervicitis was the most common histopathology of cervix (45%), 8% of patients had the simple endometrial hyperplasia , Conclusion: Benign lesions of endometrium and myometrium are the most common causes for abnormal uterine bleeding in perimenopausal women, but the possibility of endometrial hyperplasia and particularly the cancers of uterus and cervix must be considered particularly with the advancing age. In our study there was no significant changes noted in histopathology of cervix in women with perimenopausal bleeding