Histomorphological Spectrum of Endometrial Tissue in Abnormal Uterine Bleeding

Jyoti Brahmaiah, Lalitha Sree Kuppareddy, Vijay Kumar Papireddygari, C. Begum
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Abstract

Introduction: Abnormal Uterine Bleeding (AUB) is a very common presenting complaint in patients visiting the gynaecologists all over the world. Though common, AUB can cause tremendous physical as well as emotional distress to the patient. Aim: To study the histomorphological pattern of endometrium in patients with AUB. Materials and Methods: This study was a retrospective study conducted during a six month period from October 2021 to March 2022 in the Department of Pathology at Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India, on 210 endometrial tissue samples of women who presented with AUB. Specimens that were received during a one year period between March 2019 and February 2020 were processed routinely and stained using Haematoxylin and Eosin stain. Detailed microscopic evaluation was done and eleven different histopathological diagnoses were made. The data collected was entered into Microsoft Excel sheet and percentages were analysed manually. Results: Maximum number of cases of AUB were seen in the 41-50 years age group. The most common histopathological pattern in this study was proliferative phase seen in 67 cases (31.90%) followed by endometrial hyperplasia which was seen in 42 cases (20.00%). The other important patterns included pregnancy related complications, 32 (15.24%), secretory phase, 24 (11.43%), disordered proliferative endometrium, 14 (6.67%), chronic endometritis 11 (5.24%) and hormonal/pill endometrium, 8 (3.81%). Endometrial malignancy was diagnosed only in one case (0.48%). Conclusion: A wide variety of histopathological patterns were found in endometrial samples in AUB across different age groups. Histopathological examination of endometrium is an important tool in the diagnosis and management of AUB.
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异常子宫出血的子宫内膜组织形态学谱
简介:子宫异常出血(AUB)是一个非常常见的主诉患者访问妇科医生在世界各地。虽然很常见,但AUB会给患者带来巨大的身体和精神上的痛苦。目的:探讨AUB患者子宫内膜的组织形态学特征。材料和方法:本研究是一项回顾性研究,于2021年10月至2022年3月在印度安得拉邦Chittoor市阿波罗医学科学研究所病理学部进行,为期6个月,对210例AUB女性子宫内膜组织样本进行研究。在2019年3月至2020年2月的一年内收到的标本进行常规处理,并使用苏木精和伊红染色。进行了详细的显微镜检查和11种不同的组织病理学诊断。将收集到的数据输入到Microsoft Excel表格中,并人工分析百分比。结果:AUB以41 ~ 50岁年龄组最多。本研究中最常见的组织病理学模式为增生期,67例(31.90%),其次是子宫内膜增生,42例(20.00%)。其他重要类型包括妊娠相关并发症32例(15.24%)、分泌期24例(11.43%)、增生性子宫内膜紊乱14例(6.67%)、慢性子宫内膜炎11例(5.24%)、激素/药丸子宫内膜8例(3.81%)。子宫内膜恶性肿瘤仅1例(0.48%)。结论:在不同年龄组的AUB子宫内膜样本中发现了各种各样的组织病理学模式。子宫内膜组织病理学检查是诊断和治疗AUB的重要工具。
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71
审稿时长
12 weeks
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