Rahat Sarfraz, Sarfraz Ahmed, Farrukh Kamal, Ameena Afsar.
Pattern of benign morphological myometrial lesions in total abdominal hysterectomy specimens.
Biomedica Jan ;26(2):140-3.

Introduction: Hysterectomy is one of the most common major surgical procedure performed all over the world. Indications for total abdominal hysterectomy include dysfunctional uterine bleed-ing, leiomyoma, adenomyosis, chronic pelvic pain and pelvic inflammatory disease. Other causes include endometrial hyperplasia, cervical intraepithelial neoplasia, invasive cancer and endo-metrial malignancy. Hysterectomy specimens contribute a major component of histopathological work in Pathology laboratories. The present study was undertaken in Pathology department, Alla-ma Iqbal Medical College, Lahore to find out the morphology and frequency of different benign histopathological lesions in myometrium of uterus in total abdominal hysterectomy specimens. Subjects and Methods: A descriptive case series study of one hundred total abdominal hysterec-tomy specimens was carried out in Allama Iqbal Medical College, Lahore. Results: One hundred total abdominal hysterectomy specimens were studied. The ages of the pati-ents ranged from 30 – 69 years with maximum (73%) cases in 40 – 49 years age group. The com-monest presenting complaint was menorrhagia (68%). The two benign histopathological lesions in myometrium were leiomyoma and adenomyosis. Myometrium revealed leiomyoma in 69% cases and foci of adenomyosis in 47% cases. Conclusion: The commonest benign histopathological lesion in myometrium was leiomyoma (69%) followed by adenomyosis (47%).

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