WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Islam Osamah Akram Ali* and Professor Dr. Alaa Ghani Hussein

ABSTRACT

Background: Hysterectomy is the most commonly performed gynaecological surgery done in female and is a successful operation in terms of symptomatic relief, patient satisfaction as well as provides definitive cure to many diseases involving uterus and adnexa like fibroids, menorrhagia, adenomyosis, endometriosis, pelvic inflammatory disease, uterovaginal prolapse and malignancy. Objective: To study the frequency of different pathologies of uterus and adenxia in hysterectomy and associate the clinicopathological parameters with the histopathological diagnosis. Materials and method: A retrospective study was conducted over the period from January 2024 to January 2025, which includes an analysis of 180 randomly selected patients with hysterectomy. Cases received between 2022 and 2023 in the Teaching Laboratory of Al-Imamain Al-Kadhimain medical city were collected for this study. For each case the histopathological reports and the slides were collected. In addition, clinical parameters such as (age, type of hysterectomy, clinical indication, ultrasound diagnosis) were collected from the pathology reports and ultrasound reports. In the Pathology Department at College of Medicine/Al-Nahrain University, H&E stained slides were re- examined by the supervisor pathologist for revision of the diagnosis. Result: One hundred-eighty hysterectomy specimens were examined and the peak age group were from 40-49 years (49.4%), and the most common clinical presentation was abnormal uterine bleeding (AUB) (61.67%). Most common histopathological lesion was endometrial hyperplasia (43.4%), followed by (31.7%) of cases presented as leiomyoma alone and (23.3%) as dual pathology of lieomyoma with adenomyosis. Chronic cervicitis was the commonest incidental histopathological finding seen in hysterectomy specimens. Conclusions: Histopathological findings typically correspond with clinical diagnoses, however; some conditions, including chronic cervicitis and adenomyosis, are frequently identified incidentally. Consequently, it is imperative to perform a comprehensive histopathological evaluation of all hysterectomy specimens, regardless of their gross appearance, to ensure accurate diagnosis and enhance postoperative care.