Histopathological Pattern of Uterine Lesions in Cases with Menorrhagia

To determine histopathologic pattern of uterine lesions in cases with menorrhagia in different age groups

This study was carried out at the pathology department, SN Medical college Bagalkot.

Seventy four abdominal hysterectomy cases done for the treatment of menorrhagia, were included in the study. An exclusion criterion was vaginal hysterectomies, abdominal hysterectomies done for complaints other than menorrhagia and malignancies. Two sections were taken from the cervix, two from uterine corpus, one section each from leiomyomas. Polyps were submitted entirely. Sections (3–5 μ), stained with Hematoxylin and eosin (H&E) stain were microscopically examined and reported.

Menorrhagia was common in the age group of 41–50 years with 51.35% (n=38), 35.13% (n=26) were from 30–40 years age group and 8.10% (n=6) were from 21–30 years, 5.4% (n=4) were from 51–60 yrs age group. Out of 74 cases, 48.64% (n=36) showed no obvious gross or microscopic abnormality followed by leiomyomas in 25.67% cases (n=19)followed by adenomyosis 12.16% cases (n=9), 5.40% (n=4) cases of endometrial polyps, 5.40% (n=4) cases of endometrial hyperplasia and 2.7% (n=2) case of pill endometrium were diagnosed.

Uterine fibroids and adenomyosis are the most common benign conditions found in hysterectomy specimens with peak incidence at 41–50 years. Histopathology is mandatory for confirming diagnosis