COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details.,, Mob. 8826373757, 8826859373, 9910947804

Article view: 446

Article download: 148

IP Journal of Diagnostic Pathology and Oncology

A clinicopathological study of endometrium in hysterectomy specimens with fibroids

Full Text PDF Share on Facebook Share on Twitter

Author Details : Ksheera Cariappa. A, Vinay Kumar. R

Volume : 3, Issue : 1, Year : 2018

Article Page : 12-17

Suggest article by email


Introduction: Hysterectomy is the most common gynaecological surgery performed in the peri menopausal and post menopausal women all over the world. The commonest pathologies in such hysterectomies are uterine fibroids. Many times hysterectomies are also performed for dysfunctional uterine bleeding, in which leiomyomas are commonly noted. When such hysterectomy specimen are grossed and sections studied, co-existing endometrial lesions like hyperplasias, metaplasias, malignancies are usually missed due to the significant presence of leiomyoma.
Aim of the Study: The present study intends to unravel all such endometrial pathologies, which would have been missed when there is a co-existing uterine leiomyoma and to categorize these lesions into different groups.
Materials and Methods: The study material was obtained from patients who underwent hysterectomy for leiomyoma from December 2011 to August 2013. 200 hysterectomy specimens were included in the study. Tissue bits from representative areas were taken, microscopic sections obtained and histological features studied.
Results: Leiomyomas occurred mostly in women aged between 41-50 years and in multiparous women. Menorrhagia was the commonest presentation. Endometrial pattern commonly seen was proliferative phase and hyperplasia. Other patterns like endometrial adenocarcinoma, endometrial polyps and pill endometrium were also encountered.
Conclusion: Leiomyomas are estrogen dependent tumours, wherein the endometrium manifests mostly as proliferative phase or hyperplasia suggesting estrogenic prevalence. Findings such as endometrial hyperplasia, polyposis along with distorted, dilated or elongated glands in endometrial curetting could suggest a possibility of uterine leiomyoma.

Keywords: Leiomyoma, Hysterectomy, Endometrium, Hyperplasia, Metaplasia, Carcinoma.

Doi : 10.18231/2581-3706.2018.0003

How to cite : Ksheera Cariappa. A, Vinay Kumar. R, A clinicopathological study of endometrium in hysterectomy specimens with fibroids. IP J Diagn Pathol Oncol 2018;3(1):12-17

Copyright © 2018 by author(s) and IP J Diagn Pathol Oncol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (