TITLE:
Histopathological Pattern of Endometrium: Hospital Based Study in Teaching Hospital, Batticaloa, Srilanka
AUTHORS:
Markandu Thirukumar, Sinnathurai Ahilan
KEYWORDS:
Abnormal Uterine Bleeding, Histopathological Pattern of the Endometrium
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.11,
September
17,
2018
ABSTRACT: Introduction: Abnormal uterine bleeding, either due to organic or be dysfunctional
cause, is a common gynaecological problems. Methods: A retrospective,
cross sectional, hospital-based study was done for a period of five and a half
years included 1884 samples which were taken by endosampling as well as by
curetting for the evaluation of several gynaecological symptoms. Results: The age distribution ranges from 16 to 83 years. 12.8% of (242/1884) samples
were inadequate for a comprehensive diagnosis. The functional cause was the
predominant in 1263 samples and organic causes were found in 379 sample. The menorrhagia is the commonest one and it is followed by post-menopausal
bleeding and polymenorrhoea. Endometrial polyp was the predominant organic (46.9%)
cause followed by (26.1%) simple endometrial hyperplasia without atypia. Most
of the simple hyperplasia without atypia (49/99) and complex hyperplasia
(10/28) also occurred in the same age group. Total 29 (1.5%) cases of carcinoma
of endometrium were found and it was common (13/29) in 50 - 59
years of age. It was noted that (5/29) carcinoma occurred in less than 39 years
of age. Conclusion: This study shows that most of the patients fall in
the age group of 40 - 49 years. As the organic causes mostly found in this age group,
endometrial cavity evaluation should be done more than 40 years of age. Further
endometrial hyperplasia and carcinoma of the endometrium also occurs in less than 40 years of
age. Therefore, clinical risk factors should be assessed and need of
endometrial cavity should be individualised for
better outcome.