PATTERN OF BENIGN MORPHOLOGICAL MYOMETRIAL LESIONS IN TOTAL ABDOMINAL HYSTERECTOMY SPECIMENS

Introduction: Hysterectomy is one of the most common major surgical procedure performed all over the world. Indications for total abdominal hysterectomy include dysfunctional uterine bleeding, leiomyoma, adenomyosis, chronic pelvic pain and pelvic inflammatory disease. Other causes include endometrial hyperplasia, cervical intraepithelial neoplasia, invasive cancer and endometrial malignancy. Hysterectomy specimens contribute a major component of histopathological work in Pathology laboratories. The present study was undertaken in Pathology department, Allama 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 patients ranged from 30 – 69 years with maximum (73%) cases in 40 – 49 years age group. The commonest 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%).