@article{Anwar_Samreen_Anwar_2023, title={Clinicopathological Study of Hysterectomy at PNS SHIFA Karachi}, volume={73}, url={https://pafmj.org/PAFMJ/article/view/4364}, DOI={10.51253/pafmj.v73i2.4364}, abstractNote={<p><strong>Objectives:</strong> To analyses the clinical indication of abdominal hysterectomy with the histopathological findings.</p> <p><strong>Study Design:</strong> Cross-sectional study.</p> <p><strong>Place and Duration of Study:</strong> Department of Gynecology and Obstetrics, PNS Shifa, Karachi Pakistan, from Jul 2017 to Jun 2019.</p> <p><strong>Methodology:</strong> During the study period, we obtained data of patients’ age, parity, presenting complaint, clinical features,indication and type of hysterectomy and histopathology reports of all hysterectomy specimens. A comparison between clinical indication and histopathological findings was made.</p> <p><strong>Results:</strong> During the study period, 180 hysterectomies were performed. Heavy menstrual bleeding due to fibroid uterus was seen in 76(42.22%) cases, followed by menstrual irregularities without organic pathology in 39(21.80%) cases. The commonest histopathological diagnosis was leiomyoma/fibroid in 78 cases (43.33%), followed by chronic cervicitis in 59 cases (32.77%).Preoperatively, 76 cases (42.22%) were diagnosed with fibroid uterus, but histopathology of 78(43.33%) showed fibroid uterus.Moreover, 39(21.80%) cases had a pre-operative diagnosis of abnormal uterine bleeding without organic pathology.However, histopathology confirmed only 22(12.22%) cases. Incidentally, on histopathology, we observed chronic cervicitis in 59(32.77%) cases.</p> <p><strong>Conclusion:</strong> The fibroid uterus is the most commonly identified pathology. 79.44% of cases confirmed the clinical diagnosis with histopathological diagnosis. The clinical and histopathological correlation was 100% in cases of leiomyoma, cervical and endometrial polyp.</p>}, number={2}, journal={Pakistan Armed Forces Medical Journal}, author={Anwar, Rabiah and Samreen, Aini and Anwar, Sobia}, year={2023}, month={Apr.}, pages={382–85} }