Pathologic profile of hysterectomy cases in Saudi Arabia: A tertiary center experience
Background: Hysterectomies are increasingly being replaced by more conservative management modalities and are now only used for limited clinical indications. The agreement between these indications and the final pathology is understudied. Objectives: This study aimed to correlate the preoperative cl...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Saudi Journal of Medicine and Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sjmms.net/article.asp?issn=1658-631X;year=2023;volume=11;issue=3;spage=257;epage=263;aulast=Alqahtani |
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| author | Nourah Hasan Alqahtani Methal I Albayat Yara A Al Nashwan Areej Manssour Alnemer |
| author_facet | Nourah Hasan Alqahtani Methal I Albayat Yara A Al Nashwan Areej Manssour Alnemer |
| author_sort | Nourah Hasan Alqahtani |
| collection | DOAJ |
| description | Background: Hysterectomies are increasingly being replaced by more conservative management modalities and are now only used for limited clinical indications. The agreement between these indications and the final pathology is understudied.
Objectives: This study aimed to correlate the preoperative clinical diagnoses with the pathological findings detected in hysterectomies in Saudi women of different age groups.
Materials and Methods: This retrospective study analyzed the preoperative clinical indications and the subsequent clinical and pathological data of all hysterectomies conducted at a single tertiary care hospital in the Eastern Province of Saudi Arabia between January 2010 and December 2021.
Results: There was no decline in the frequency of hysterectomies across the study period. Abnormal uterine bleeding was the most common clinical indication across all age groups, followed by symptomatic fibroid and uterine prolapse in women aged <50 and ≥50 years, respectively. A total of 9.2% of the cases were indicated for therapeutic reasons, either as an emergency procedure for peripartum hemorrhage or for suspected uterine premalignant and malignant lesions. Besides these, 41.2% of patients had more than one pathology, with the most common combination being leiomyoma and adenomyosis (43.4%). The difference in age between malignant and benign cases (52.3 vs. 48.8 years, respectively) was not statistically significant (P = 0.109).
Conclusions: Most of our cohort had benign lesions. Perceptible misuse of the procedure in this cohort was unlikely, as a large proportion of the patients had more than one pathology corresponding to each clinical indication. |
| first_indexed | 2024-03-12T13:42:56Z |
| format | Article |
| id | doaj.art-44698cd972ad40838ae77c89c97920e1 |
| institution | Directory Open Access Journal |
| issn | 1658-631X |
| language | English |
| last_indexed | 2024-03-12T13:42:56Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Medicine and Medical Sciences |
| spelling | doaj.art-44698cd972ad40838ae77c89c97920e12023-08-23T09:47:39ZengWolters Kluwer Medknow PublicationsSaudi Journal of Medicine and Medical Sciences1658-631X2023-01-0111325726310.4103/sjmms.sjmms_438_22Pathologic profile of hysterectomy cases in Saudi Arabia: A tertiary center experienceNourah Hasan AlqahtaniMethal I AlbayatYara A Al NashwanAreej Manssour AlnemerBackground: Hysterectomies are increasingly being replaced by more conservative management modalities and are now only used for limited clinical indications. The agreement between these indications and the final pathology is understudied. Objectives: This study aimed to correlate the preoperative clinical diagnoses with the pathological findings detected in hysterectomies in Saudi women of different age groups. Materials and Methods: This retrospective study analyzed the preoperative clinical indications and the subsequent clinical and pathological data of all hysterectomies conducted at a single tertiary care hospital in the Eastern Province of Saudi Arabia between January 2010 and December 2021. Results: There was no decline in the frequency of hysterectomies across the study period. Abnormal uterine bleeding was the most common clinical indication across all age groups, followed by symptomatic fibroid and uterine prolapse in women aged <50 and ≥50 years, respectively. A total of 9.2% of the cases were indicated for therapeutic reasons, either as an emergency procedure for peripartum hemorrhage or for suspected uterine premalignant and malignant lesions. Besides these, 41.2% of patients had more than one pathology, with the most common combination being leiomyoma and adenomyosis (43.4%). The difference in age between malignant and benign cases (52.3 vs. 48.8 years, respectively) was not statistically significant (P = 0.109). Conclusions: Most of our cohort had benign lesions. Perceptible misuse of the procedure in this cohort was unlikely, as a large proportion of the patients had more than one pathology corresponding to each clinical indication.http://www.sjmms.net/article.asp?issn=1658-631X;year=2023;volume=11;issue=3;spage=257;epage=263;aulast=Alqahtanidiagnosishysterectomyindicationspathology |
| spellingShingle | Nourah Hasan Alqahtani Methal I Albayat Yara A Al Nashwan Areej Manssour Alnemer Pathologic profile of hysterectomy cases in Saudi Arabia: A tertiary center experience Saudi Journal of Medicine and Medical Sciences diagnosis hysterectomy indications pathology |
| title | Pathologic profile of hysterectomy cases in Saudi Arabia: A tertiary center experience |
| title_full | Pathologic profile of hysterectomy cases in Saudi Arabia: A tertiary center experience |
| title_fullStr | Pathologic profile of hysterectomy cases in Saudi Arabia: A tertiary center experience |
| title_full_unstemmed | Pathologic profile of hysterectomy cases in Saudi Arabia: A tertiary center experience |
| title_short | Pathologic profile of hysterectomy cases in Saudi Arabia: A tertiary center experience |
| title_sort | pathologic profile of hysterectomy cases in saudi arabia a tertiary center experience |
| topic | diagnosis hysterectomy indications pathology |
| url | http://www.sjmms.net/article.asp?issn=1658-631X;year=2023;volume=11;issue=3;spage=257;epage=263;aulast=Alqahtani |
| work_keys_str_mv | AT nourahhasanalqahtani pathologicprofileofhysterectomycasesinsaudiarabiaatertiarycenterexperience AT methalialbayat pathologicprofileofhysterectomycasesinsaudiarabiaatertiarycenterexperience AT yaraaalnashwan pathologicprofileofhysterectomycasesinsaudiarabiaatertiarycenterexperience AT areejmanssouralnemer pathologicprofileofhysterectomycasesinsaudiarabiaatertiarycenterexperience |