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Indian Journal of Pathology and Oncology


Study of tumours of uterus and cervix with special emphasis on endometrial stromal sarcoma


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Author Details: Neerja Shah, Nisha Raval, Jayesh Josh3, Ashok Agnihotri

Volume : 4

Issue : 4

Online ISSN : 2394-6792

Print ISSN : 2394-6784

Article First Page : 600

Article End Page : 603


Abstract

Introduction: Tumours of uterus and cervix are extremely common lesions encountered in our routine histopathology practice. However, a few entities like endometrial stromal tumours pose diagnostic challenges. With this study, an attempt has been made to broadly categorize the tumours of uterus and cervix and at the same time look into occurrence of rare lesion like endometrial stromal sarcoma.
Materials and Method: Total 2400 hysterectomy specimens received at histopathology section of department of pathology, C U Shah medical college, Surendranagar were studied in a 3 year period from August 2013 to July 2016. A brief clinical history of patient was taken into account. All histopathological details like size, shape, presence of masses, etc were noted and extensive sampling of specimen was done.
Result: Total 2400 cases were studied, of which 648 (27%) specimens were neoplastic. Of them, 635 (98%) cases were benign & constituted exclusively of leiomyomas. Amongst 13 malignant lesions, 03 (23%) cases were of endometrial stromal sarcoma, 06 cases were of endometrial carcinoma and 04 cases of cervical carcinoma.
Conclusion: As expected, leiomyomas turn out to be most common neoplasms of uterus and cervix. Though rare, certain lesions like endometrial stromal sarcoma do come across in histopathology and such lesions being known for poor prognosis and recurrences are important to be correctly and timely diagnosed.

Keywords:
Tumours of uterus & cervix, Endometrial stromal sarcoma