CHRISMED Journal of Health and Research

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 1  |  Issue : 2  |  Page : 76--81

Study of histopathological patterns of endometrium in abnormal uterine bleeding


K Sajitha, Shetty K Padma, K Jayaprakash Shetty, HL KishanPrasad, Harish S Permi, Panna Hegde 
 Department of Pathology, KS Hegde Medical Academy of Nitte University, Mangalore, Karnataka, India

Correspondence Address:
K Sajitha
Assistant Professor, Department of Pathology, KS Hegde Medical Academy of Nitte University, Deralakatte, Mangalore 575 018, Karnataka
India

Background: Abnormal uterine bleeding (AUB) is a common gynecological complaint associated with considerable morbidity and significantly affects the patient«SQ»s family, personal and social life. The aim of the study was to analyze the histomorphological patterns of endometrium in patients presenting with AUB and also to determine the incidence of AUB in various age groups. Materials and Methods: This is a prospective study, conducted in the Department of Pathology, in a tertiary care teaching hospital, Mangalore from October 2011 till date. All cases of AUB with a probable endometrial cause were included in the study. Data was entered in Microsoft Excel and managed in Statistical Package for the Social Sciences (SPSS) version 16. Analysis was done in the form of percentages and proportions and represented as tables where necessary. Results: A total of 156 cases were analyzed. Patients«SQ» age ranged from 23-78 years. AUB was most prevalent in the perimenopausal age group. The most common presenting complaint was menorrhagia (47%). Endometrial hyperplasia was the most common histopathological finding and was seen in 25% patients, followed by secretory endometrium in 16.7% patients, and proliferative phase pattern and disordered proliferative endometrium were seen in 12.2% patients each. Malignancy was detected in 6.4% of cases and endometrial carcinoma was the most common lesion (4.5%). Conclusions: Histopathological evaluation of endometrial samples is especially indicated in women over the age of 35 years to rule out malignancy and preneoplasia. Among the patients with no organic pathology, normal physiological patterns with proliferative, secretory, and menstrual changes were observed. The most common endometrial pathology in this series was endometrial hyperplasia.


How to cite this article:
Sajitha K, Padma SK, Shetty K J, KishanPrasad H L, Permi HS, Hegde P. Study of histopathological patterns of endometrium in abnormal uterine bleeding.CHRISMED J Health Res 2014;1:76-81


How to cite this URL:
Sajitha K, Padma SK, Shetty K J, KishanPrasad H L, Permi HS, Hegde P. Study of histopathological patterns of endometrium in abnormal uterine bleeding. CHRISMED J Health Res [serial online] 2014 [cited 2019 Sep 19 ];1:76-81
Available from: http://www.cjhr.org/article.asp?issn=2348-3334;year=2014;volume=1;issue=2;spage=76;epage=81;aulast=Sajitha;type=0