Significance of grading of adenomyosis in hysterectomy specimens A two year study

Dr. Shilpa.M.D; Dr. Kalyani.R; Dr. Manan Shah Bharatkumar

Volume : VI, Issue : VII, July - 2017

Significance of grading of adenomyosis in hysterectomy specimens A two year study

Dr. Shilpa. M. D, Dr. Kalyani. R, Dr. Manan Shah Bharatkumar

Abstract :

Background:

Adenomyosis is occasionally diagnosed before hysterectomy but it is a common pathologic finding which is related to reproductive and menstrual features. Most frequent cause of adenomyosis is abnormal uterine bleeding.

Aims: 1. To determine the prevalence of adenomyosis in hysterectomy specimens.

2. To know the frequency of distribution and correlate with clinical diagnosis.

3. To correlate the histopathological grading and degree of involvement with the symptoms.

Materials and methods: It was a retrospective study carried out on hysterectomy specimens in our institute from August 2014 to September 2016. Morphological findings were recorded and the number of cases diagnosed to have adenomyosis and adenomyosis associated co–existing pathologies were noted.

Results: Out of 1180 hysterectomy specimens 252 had adenomyosis during the study period. Majority were in the age group of 41–50 years and was common in multiparous women. Menorrhagia, dysmenorrhoea and chronic pelvic pain were the common symptoms. Leiomyomas was the common associated co–morbid condition. Grade and degree of involvement of adenomyosis were proportional to menstrual disturbances.

Conclusion: Adenomyosis is a common non neoplastic pathological condition related to menstrual and reproductive characteristics of the patient.