Histopathological audit of hysterectomies for analysis of indication and respective pathology at tertiary care teaching hospital

Background: Even though many medical and conservative surgical treatment options are existing, hysterectomy still is the most commonly performed major gynecological procedure worldwide. Histological examination is mandatory for the uterine specimen after hysterectomy. The present study aims to audit indications and to rationalize the surgery by relating preoperative diagnosis with histopathology reports in tertiary care hospitals.Materials and Methods: Present study was retrospective study conducted on hysterectomy (uterus and cervix) specimens received in Pathology department. The gross and histological findings of respective cases were retrieved from the histopathological section and wherever necessary re-sectioning, processing and staining done for analysis. The preoperative indications were correlated with histopathological findings of the resected specimen.Results: Among 150 cases of Hysterectomies studied most common age group was 5th decade seen in 50.67%. Most prevalent presenting symptoms was abnormal menstrual bleeding in 31.33% cases. In 45.34% cases indication of hysterectomy was fibroid which correlated histologically in most cases. On histopathological examination in 44% cases finding in endometrium was proliferative phase of endometrium. Atypical endometrial hyperplasia found in 4 cases, while single case of endometrial adenocarcinoma was reported. In 63.99% finding in cervix was chronic cervicitis. Cervical dysplasia seen only in 4 cases justifying earlier age of hysterectomies performed. Of total 150 cases, 128 were concordant with the histopathological diagnosis and 22 cases were non-concordant. P value was calculated and it shows high significance (P <0> Conclusion: There was wide spectrum of histopathological findings in hysterectomy specimens which needs to be evaluated histopathological examination. Hysterectomy can be an option of treatment when other treatment options are not available and regular audit of hysterectomies should be conducted.