Histomorphological analysis of uterine and cervical lesions in hysterectomy specimens at a tertiary care hospital

Introduction: The Uterus is a major female hormone responsive reproductive organ which is subjected to vast range physiological changes, benign and malignant disorders. Aims and Objectives: The study was undertaken to see different patterns of histomorphological lesions in uterus and cervix in hysterectomy specimens and to study its correlation with respect to age and clinical presentation. Materials and Methods: This study is a prospective analysis of 155 hysterectomy specimens received in Department of Pathology in DR B R Ambedkar medical college and hospital in Bangalore during a 18 months period from June 2017 to December 2018. Results: In the present study commonest type of hysterectomy was Total abdominal hysterectomy and the commonest clinical indication being Menorrhagia in 63(40.64%) cases. The peak age of incidence of hysterectomy was noted in the 5th decade (38.91%). The commonest lesion encountered was Chronic non specific cervicitis in 86(55.40%) cases and leiomyoma in 57(36.77%) cases, 6 cases (3.87%) of carcinoma endometrium, 9 cases (5.80%) of carcinoma cervix and 11 case (7.00%) of cervical dysplasia were encountered. The rare and interesting lesions encountered in the present study were 2(1.28%) case of blue nevus Cervix and 2 case (1.28%) of Benign Cellular Leiomyoma and 1 case of (0.64%) Lymphoepithelioma like SCC cervix Conclusion: Hysterectomy still remains one of the most commonly done procedure in the gynecology department. Histomorphological analysis of lesions of uterus and cervix is mandatory for establishing final diagnosis.