Correlation between ultrasonographic and histopathological findings of hysterectomy specimen in patients with abnormal uterine bleeding

Simple item page
dc.contributor.authorMahajan, Kaushiken_US
dc.contributor.authorDevi, R. K. Praneshwarien_US
dc.contributor.authorSingh, Ajitkumaren_US
dc.contributor.authorLairenjam, Dipentyen_US
dc.contributor.authorSingh, Leimapokpam Roshanen_US
dc.contributor.authorNungsangtemjenen_US
dc.contributor.authorRoy, Madhumitaen_US
dc.contributor.authorJeevana, C.en_US
dc.date.accessioned2020-10-16T08:07:36Z
dc.date.available2020-10-16T08:07:36Z
dc.date.issued2020-10
dc.description.abstractBackground: AUB is a common and debilitating condition and it is one of the main gynaecological reasons for hysterectomy. Ultrasonography can be as good as histopathology (HPE) in the diagnosis of abnormal uterine bleeding. Hence, our study was conducted to validate the ultrasonographic findings with HPE findings in diagnosis of AUB.Methods: A hospital based cross-sectional analytical study was conducted among 86 patients with abnormal uterine bleeding in the department of Obstetrics and Gynaecology in collaboration with department of Pathology, RIMS, Imphal from September 2017 to March 2019. The clinical history and socio demographic profile were collected using a pre-designed proforma. General physical examination, pelvic examination and ultrasonagraphy was carried out and the hysterectomy specimens were subjected to histopathological examination.Results: Fibromyoma was diagnosed by ultrasound in 62.8% of the patients and it was the common diagnosis in this study. The sensitivity, specificity, positive predictive value, negative predictive value and kappa statistics of USG for diagnosing leiomyoma was 92.9%, 93.3%, 96.3%, 87.5% and 84.9% respectively. The sensitivity, specificity, positive predictive value, negative predictive value and kappa statistics of USG for diagnosing adenomyosis was 53.8%, 98.6%, 87.5%, 92.3% and 62.3% respectively.Conclusions: The study provides an evidence that ultrasonography has good diagnostic accuracy as histopathology in the diagnosis of fibroid in patients with abnormal uterine bleeding. However, as with all the diagnostic procedures, the utility of ultrasound in the diagnosis of adenomyosis is questionable, since it has a low sensitivity amidst good specificity.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Regional Institute of Medical Sciences, Imphal, Manipur, Indiaen_US
dc.identifier.citationMahajan Kaushik, Devi R. K. Praneshwari, Singh Ajitkumar, Lairenjam Dipenty, Singh Leimapokpam Roshan, Nungsangtemjen, Roy Madhumita, Jeevana C.. Correlation between ultrasonographic and histopathological findings of hysterectomy specimen in patients with abnormal uterine bleeding. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020 Oct; 9(10): 4123-4129en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/208087
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber10en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20204299en_US
dc.subjectAbnormal uterine bleedingen_US
dc.subjectCross-sectional analytical studyen_US
dc.subjectDiagnostic accuracyen_US
dc.subjectHistopathologyen_US
dc.subjectUltrasonagraphyen_US
dc.titleCorrelation between ultrasonographic and histopathological findings of hysterectomy specimen in patients with abnormal uterine bleedingen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijrcog2020v9n10p4123.pdf
Size:
227.71 KB
Format:
Adobe Portable Document Format
Download
Collections
International Journal of Reproduction, Contraception, Obstetrics and Gynecology