Spectrum of Uterine corpus lesions in hysterectomy specimens

Background: The Uterus is subjected to various disorders, which include inflammatory, hyperplastic and neoplastic disorders. Many treatment options are available including medical and conservative surgical but hysterectomy still remains the most common gynaecological procedure performed worldwide.This study was conducted to know the incidence of various uterine corpus lesions in Abdominal hysterectomy specimens and to know the age wise distribution of the lesions. Materials & Methods: This is a seven years study, conducted in the department of Pathology, Kurnool Medical college, Kurnool. This study included five years retrospective (1998-2002) and two years prospective study (January 2003 – December 2004). The inclusion criteria was abdominal hysterectomy specimens with uterine corpus lesions, exclusion criteria was vaginal hysterectomy specimens, cervical, ovarian and tubal pathology lesions. Results: Total cases studied were 622 and age range was 19 to 66 years. Most common age group encountered was 30-39 years, comprising 316 cases, making 50.8% of total cases. Most common uterine corpus lesion observed was Leiomyoma, seen in 443 cases(71.2%), followed by Adenomyosis, 87 cases (13.9%), endometrial polyp, 46 cases(7.4%). In malignant lesions of uterine corpus most common malignant lesion was Endometrial Carcinoma. Other malignant lesions received were three cases of Endometrial Stromal Sarcoma, one case of Carcinosarcoma. Conclusion: Most common uterine corpus lesion was Leiomyoma followed by Adenomyosis.In malignant disorders most common was Endometrial carcinom