Online ISSN: 2515-8260

Keywords : Cervix


A Retrospective assessment of the histo-morphological diversity of various lesions of the uterus, cervix and adnexa

Dr. Vani H Patel, Dr. Maulik K Mehariya, Dr. Vishal S Patel

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 90-95

Aim: To study the histo-morphological diversity of various lesions of the uterus, cervix and adnexa.
Materials and Methods: A Retrospective Histopathological study of 609 cases of nonneoplastic and neoplastic lesions of hysterectomy specimens was conducted in Department of Pathology, over the period from June 2015- May 2017. Hysterectomy specimen with or without unilateral or bilateral adnexa received in the department. The specimens were analyzed in detail macroscopically for various parameters like size, external surface, and consistency and cut sections.
Results: Atrophic changes were seen in 13.46% cases. Endometrial hyperplasia was seen in 26 cases. Among the neoplastic lesions 2.46% cases were endometrial polyps with only 3 cases of malignancy forming 0.49%. Among the histologic types of lesions of myometrium, majority were Leiomyoma (27.59%). Leiomyoma and Adenomyosis were seen in 55 cases (9.04%). Adenomyosis was seen in 22.00%. Chronic cervicitis was seen in 36.07% cases and chronic cystic cervicitis in 6.21% of cases. Nabothian cyst were seen in 124 cases (20.80%). 19.80% cases showed Squamous metaplasia. Out of 188 Ovarian lesions, 167 (88.83%) were non-neoplastic lesions and 21 (11.17%) were neoplastic lesions. Fallopian tube pathology included chronic salpingitis in 2 cases, paratubal cyst in 07 cases. 69.4% of cases show unremarkable fallopian tubes.
Conclusion: The present study provides awareness into the wide range of histopathological patterns of lesions in uterus and cervix in hysterectomy specimens. It aids to appropriate management in the postoperative period.

Evaluation of vaginal cytology for detection of dysplasia, carcinoma-in-situ, Microinvasive carcinoma, Frank invasive carcinoma cervix

Dr. Anuja Mishra, Dr. Amit Sinha, Dr. Rajeev Babu, Dr. Tanwi Singh, Dr. Kalpana Chandra, Dr. Nidhish Kumar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 9962-9971

Background: Carcinoma of cervix is the final step in the chain of events occurring in
cervical epithelium at transformation zone.The present work aims at evaluation of
vaginal cytology for detection of dysplasia, carcinoma-in-situ, Microinvasive carcinoma,
Frank invasive carcinomacervix.
Material and Methods: In the present study 300 cases were selected from the outdoor
department of Obstetrics and Gynecology of Darbhanga Medical college Hospital,
Laheriasari. The cases selected were thoroughly examined and investigated. Cytological
study and Histopathological study of positive smears were done.The lesions showing
different grades of dysplastic lesions and malignant lesion were confirmed
histopathologically.

Assessment of radiological prognostic factors in patients with carcinoma cervix treated with concurrent chemoradiation: A clinical study

Manraj Singh Kang; Taranjeet kaur; Gaurav Jaswal; D P Singh; Gagandeep Singh; Khusbu Goyal

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 3001-3006

Aims & Objective: The present study was undertaken for assessing the radiological
prognostic factors in patients with carcinoma cervix treated with concurrent
chemoradiation.
Materials & methods: A total of 40 patients were included. Only those patients were
included which had histological proven diagnosis of carcinoma of cervix. Patients were
within the age range of 19 to 60 years. Complete demographic and clinical details of all the
patients were obtained. Thorough physical examination of all the patients was carried out.
Treatment planned was 3-dimensional conformal radiotherapy with concurrent
chemotherapy followed by radiotherapy and follow-up for 6 months.
Results: Out of 40 patients, 25 patients had NED after 6 months while in 15 patients were
of residual after 6 months. Among the patients with NED, 16 patients had parametrical
extension of less than lateral pelvic wall while disease dimension was more than 6 cm in 17
patients. Hyponephrosis was present in 2 patients. Among the patients with residual, 10
patients had parametrical extension of less than lateral pelvic wall while disease dimension
was more than 6 cm in 15 patients. Hyponephrosis was present in 5 patients.
Conclusion: Patients with higher parametrical extension upto pelvic wall, hydronephrosis
and greater dimension were associated with pelvic failure of disease at follow-up.

A CERVIX DILATION DEVICE USEFUL IN PRESENCE OF MINIMAL RESOURCE SETTINGS

Dr. Arpita Jaiswal; Kushagra Kumar Wanjari; Kajal Roy; Dr. A.V. Bapat; Dr Sandip Khedkar; Dr Punit Fulzele; Dr. Gaurav Mishra

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1646-1652

Cervical dilators are used to dilate the cervix in an efficient manner. It is done during labor, miscarriages, abortion or for any gynaecological surgery. During gynaecological surgery procedures, it is necessary to open the cervix to get access to the uterus and fallopian tubes and this can be achievable using a dilator. The device is useful as it decreases the risk of cervical injury during surgery. There are a number of cervix dilators used by the Gynaecologists around the world including mechanical dilators, drugs inducing cervical dilation and osmotic dilators. Balloon catheters are used in mechanical dilation while hygroscopic dilators are the osmotic dilators. For drug induces dilation, there are several drugs available in the market. The current paper focuses on the mechanical type of cervix dilators.