Original Research Article
Year: 2019 | Month: November | Volume: 6 | Issue: 11 | Pages: 254-259
Benign Lesions of Cervix Uteri: Without Human Papilloma Virus
Ashish Bansal1, Amit Kumar2, Gaddam Thapasya Reddy3
1Associate Professor, Department of Pathology, VAMC & Rohilkhand Hospital, Banthara, Shahjahanpur,
2Assistant Professor, Department of Pathology, VAMC & Rohilkhand Hospital, Banthara, Shahjahanpur,
3Assistant Professor, Department of Obstetrics & Gynaecology, VAMC & Rohilkhand Hospital, Banthara, Shahjahanpur, UP.242307.
Corresponding Author: Amit Kumar
ABSTRACT
Background: The benign lesions of cervix are a cause of significant morbidity among women of all age groups but at the brighter side they are easily treatable. Histopathology can easily identify and separate them from Human Papilloma virus infection and carcinoma cervix, thereby helping in patient treatment protocols.
Aim: The present study was conducted to identify and classify, the benign lesions affecting cervix uteri.
Material and Methods: All cervix biopsies and hysterectomy specimens including cervix were studied retrospectively for a two year period (September 2017 to September 2019) at Varun Arjun Medical College and Rohilkhand Hospital, Banthara, Shahjahanpur, UP, India.
Inclusion Criteria: All benign lesions affecting cervix.
Exclusion Criteria: Lesions associated with koilocytic atypia (HPV related changes in Cervical Intraepithelial Neoplasia and Malignant Lesions.
Clinical data including age, parity and clinical presentation were analysed. Histopathology sections were studied and reviewed by two pathologists.
Results: A total of 360 specimens were evaluated. Cervicitis and related conditions constituted 40% of total cases, benign proliferative conditions including polyps constituted 16.2% of cases. Squamous intraepithelial lesions (including HPV changes) and malignant lesions constituted 18% and 25.8% of total cases, respectively. The age range of benign lesions was 15-75 years with maximum number of cases in menopausal and peri-menopausal period (40-49 years). Most common presenting complaints were pervaginal discharge (50%) and menstrual abnormalities (24.8%).
Conclusion: Cervicitis and related conditions were the most common cause of morbidity especially in peri and menopausal age group. Cervical screening and ruling out neoplasia with histopathological examination will help these get proper treatment.
Key words: Benign, Cervix, Histopathology
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