Clinico-pathological Correlation of Sonographic Findings and Histopathological Examination of Hysterectomy Specimens in Perimenopausal Patients with Abnormal Uterine Bleeding

  • Mohsana Saeed Zia assisstant professor
  • Shafaq Hanif professor of gynaecology
  • Murrawat Shaheen classified gyneacologist
Keywords: Abormal uterine bleeding, perimenopausal women

Abstract

Objective: To evaluate the clinical presentations of perimenopausal abnormal uterine bleeding and correlation of sonography findings and histopathological examination of hysterectomy specimens.

Methodology: This cross sectional descriptive type of study of three years was conducted in Obstetrics & Gynaecology department AIMS among perimenopausal women who underwent hystrectomy for abnormal uterine bleeding. The data included clinical presentations, ultrasonographic findings and reports of hystrectomy specimens in addition to demographic variables like age, parity.

Results: Among 100 numbers of cases, most of the patients were between 40 and 45 years of age(68.67%). Heavy menstural bleeding was the predominent clinical presentation among patients. The 45% (45) cases were diagnosed as fibroid uterus by ultrasonography followed by thickened endometrium 25% (25). Histopathological reports of specimens showed 41% (41) fibromyoma followed by fibroid with endometrial hyperplasia 16% (16). there is +ve relationship between USG and clinical diagnosis i.e., (r =.316) and also significant as the P value is < 0.05. It is also observed that there is less correlation between USG and histopathology as well as clinical diagnosis and histopathology

Conclusion: Among hysterectomized cases, uterine fibroid was the leading cause of abnormal uterine bleeding and radiological, pathological evaluation well correlated to diagnose fibroid.

Published
2022-01-13
Section
Original Articles