INCIDENCE OF BENIGN PATHOLOGIES OF UTERINE CERVIX

Among various gynaecological specimens, the commonest are non-neoplastic lesions affecting the uterine cervix. The aim of this study is to establish the incidence and histological types of non?neoplastic cervical lesions of the cervix in tertiary hospital. This is a prospective study of 261 patients admitted over the period January 2012 and December 2014 to the Obstetric Gynecologic University Hospital “Queen Geraldine”, in Tirana, Albania. The present study was conducted in the histopathology division including specimens of uterine cervix obtained either in the form of biopsies or hysterectomy specimens. During this two year period, a total of 261 cervical specimens were received in the pathology department. Of these, 154 cases (59%) were benign lesions while 107 cases (41%) were malignant. The age range of benign cervical lesions was 24 to 73 years with a mean age of 49.3 ± 3.3 years. The peak age incidence was in age group 41-50 years accounting for 38% of benign cases. Eight percent of cases occurred before 30 years and 6% of cases after 60 years. Endocervical hyperplasia accounted for 42% of all lesions (table 2). The second most common lesion were endocervical polyp accounting for 18% of benign cervical lesions followed by Leiomyomatous polyp (10%), Chronic non specific cervicitis (9%), Adenosis (8%). More rare lesions were Endometriosis (5%), Nabothian cyst and Granulation Tissue with (4%) respectively. The present study emphasizes the spectrum of benign lesions of uterine cervix, which can be divided under various categories. These categories can provide the basis for identifying the etiology and their clinical presentations. Early detection and management of the benign lesions prevents further complications; thereby reducing the amount of morbidity.