Spectrum of Uterine Lesions in Non Pregnant Women of Reproductive Age Group Presenting with Abnormal Uterine Bleeding in Kumaon Region

Abstract

The objective is to study the spectrum of lesions in non-pregnant women of reproductive age group presenting with abnormal uterine bleeding in Kumaon region. A two year prospective cross sectional study was carried out from September 2013September 2015 in the Department of Pathology and Department of Obstetrics& Gynaecology, Government Medical College, Haldwani and associated Dr. Sushila Tiwari Memorial Hospital, Haldwani. Data was obtained from patient’s proforma which included age, parity, presenting symptoms, bleeding pattern and clinical indication for hysterectomy. The specimens were studied grossly and thereafter processed and stained with hematoxylin & eosin stain for microscopic examination. Majority of lesions were benign in nature (99.6%) while malignant lesions comprised of a very small percentage (0.4%).The most common age group that presented with AUB was perimenopausal age group ( 40 -44 years) that comprised of 65.6% of the total cases. Most common lesion encountered was adenomyosis seen in 67 cases (26.8%) followed by leiomyoma seen in 45 cases (18%) which was the second most common singly occurring lesion. Heavy menstrual bleeding (HMB) was the most common bleeding pattern encountered in our study accounting for 75.6% cases. Clinicopathological correlation was seen in 95.6% cases of leiomyoma while it was only 71.6% for adenomyosis.