A Clinico-Morphological Spectrum Of The Non Neoplastic Lesions Of The Uterine Cervix At AJ Hospital, Mangalore 546-550
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Background and objectives:
Cervices from hysterectomies and biopsies constitute the majority of gynaecological specimens which are received in the department of histopathology and non-neoplastic lesions form the huge chunk of diagnosis among them. However, there are many lesions that appear to be exuberant and can be misdiagnosed to be malignant. On the basis of this, a detailed histomorphological study of the non-neoplastic lesions of the cervix was taken up .
1015 non-neoplastic cervices were evaluated either from hysterectomy or biopsy specimens. These cervices were subjected to detailed gross and microscopic examination and were further subclassified into various non-neoplastic lesions.
All the 1015 (100%) cervical specimens showed the features of cervicitis. However, acute on chronic cervicitis was found in only 43 cervices (4.23%) and tuberculous cervicitis was encountered in only one patient (0.9%). The commonestendocervical epithelial lesions which were encountered were polypoidal endocervicitis (29.26%) and squamous metaplasia (73.390%) and the uncommon lesions included microglandular endocervical hyperplasia (2.6%), tunnel clusters (2.46%) ands mesonephric rests (1.18%). A majority of the ectocervical changes were attributed to the patients who presented with uterine prolapse (214 patients), which included hyperplasia with and without hyperkeratosis and parakeratosis and rarer lesions like decubitus ulcer and prominent melanocytes in the basal layer of the ectocerivix.
Interpretation and Conclusion:
During the study, a number of non-neoplastic lesions of the cervix were encountered, which caused a great deal of morbidity to the patients. It has been recommended to take up further community based studies in association with a microbiological and colposcopic correlation to evaluate the exact incidence of these non-neoplastic lesions of the cervix.