Adenomyosis in Hysterectomy Specimens: Prevalence and Correlation with Age, Parity and Associated Pathology

Objective: To determine the prevalence of adenomyosis in hysterectomy specimens and to correlate it with age, parity and associated pathologies. Study Design: Descriptive Study. Place and Duration of Study: This study was carried out at the pathology department, Railway hospital, Islamic Internation...

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Main Author: Samina Iltaf, Madiha Sajjad
Format: Article
Language:English
Published: Riphah International University, Islamabad 2012-07-01
Series:Journal of Islamic International Medical College
Subjects:
Online Access:https://journals.riphah.edu.pk/index.php/jiimc/article/view/788
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author Samina Iltaf, Madiha Sajjad
author_facet Samina Iltaf, Madiha Sajjad
author_sort Samina Iltaf, Madiha Sajjad
collection DOAJ
description Objective: To determine the prevalence of adenomyosis in hysterectomy specimens and to correlate it with age, parity and associated pathologies. Study Design: Descriptive Study. Place and Duration of Study: This study was carried out at the pathology department, Railway hospital, Islamic International Medical College trust Rawalpindi, from Jan 2008-Dec 2010. Materials and Methods: Two hundred and four hysterectomy specimens were included in the study. Standard histological techniques were followed and at least three sections were taken from the uterine wall. Adenomyosis was diagnosed if endometrial glands and stroma were found at least one low-power field away from the endometrial-myometrial junction. Results: Out of 204 hysterectomy specimens received in the pathology laboratory during three-year study period 47(23%) had adenomyosis. The age of patients with adenomyosis ranged from 32-64 years, a significantly higher prevalence being reported in those aged 40-59 years. A high prevalence of adenomyosis was found in multiparous women. No adenomyosis was found in nulliparous women. The analysis of other pathological entities (one or more in a single specimen), associated with adenomyosis showed uterine leiomyomas in 16 (34%), endometrial hyperplasia in 4 (8.5%) and endometrial polyps in 2 (4.2%) women. Conclusion: Adenomyosis is commonly found in multiparous women. Definite association with fibroids, endometrial polyps and endometrial hyperplasia cannot be established.
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spelling doaj.art-223ad7f597104ca285e72950aff10d132022-12-22T03:33:07ZengRiphah International University, IslamabadJournal of Islamic International Medical College1815-40182410-54222012-07-017140431184Adenomyosis in Hysterectomy Specimens: Prevalence and Correlation with Age, Parity and Associated PathologySamina Iltaf, Madiha SajjadObjective: To determine the prevalence of adenomyosis in hysterectomy specimens and to correlate it with age, parity and associated pathologies. Study Design: Descriptive Study. Place and Duration of Study: This study was carried out at the pathology department, Railway hospital, Islamic International Medical College trust Rawalpindi, from Jan 2008-Dec 2010. Materials and Methods: Two hundred and four hysterectomy specimens were included in the study. Standard histological techniques were followed and at least three sections were taken from the uterine wall. Adenomyosis was diagnosed if endometrial glands and stroma were found at least one low-power field away from the endometrial-myometrial junction. Results: Out of 204 hysterectomy specimens received in the pathology laboratory during three-year study period 47(23%) had adenomyosis. The age of patients with adenomyosis ranged from 32-64 years, a significantly higher prevalence being reported in those aged 40-59 years. A high prevalence of adenomyosis was found in multiparous women. No adenomyosis was found in nulliparous women. The analysis of other pathological entities (one or more in a single specimen), associated with adenomyosis showed uterine leiomyomas in 16 (34%), endometrial hyperplasia in 4 (8.5%) and endometrial polyps in 2 (4.2%) women. Conclusion: Adenomyosis is commonly found in multiparous women. Definite association with fibroids, endometrial polyps and endometrial hyperplasia cannot be established.https://journals.riphah.edu.pk/index.php/jiimc/article/view/788hysterectomy,adenomyosis, histopathology.
spellingShingle Samina Iltaf, Madiha Sajjad
Adenomyosis in Hysterectomy Specimens: Prevalence and Correlation with Age, Parity and Associated Pathology
Journal of Islamic International Medical College
hysterectomy,adenomyosis, histopathology.
title Adenomyosis in Hysterectomy Specimens: Prevalence and Correlation with Age, Parity and Associated Pathology
title_full Adenomyosis in Hysterectomy Specimens: Prevalence and Correlation with Age, Parity and Associated Pathology
title_fullStr Adenomyosis in Hysterectomy Specimens: Prevalence and Correlation with Age, Parity and Associated Pathology
title_full_unstemmed Adenomyosis in Hysterectomy Specimens: Prevalence and Correlation with Age, Parity and Associated Pathology
title_short Adenomyosis in Hysterectomy Specimens: Prevalence and Correlation with Age, Parity and Associated Pathology
title_sort adenomyosis in hysterectomy specimens prevalence and correlation with age parity and associated pathology
topic hysterectomy,adenomyosis, histopathology.
url https://journals.riphah.edu.pk/index.php/jiimc/article/view/788
work_keys_str_mv AT saminailtafmadihasajjad adenomyosisinhysterectomyspecimensprevalenceandcorrelationwithageparityandassociatedpathology