Histomorphological Spectrum of Cervical Lesions: A Three Year Retrospective Study in Rural Area Bastar Region, Chhattisgarh, India

Abstract

Introduction: Uterine cervix is vulnerable for both non neoplastic and neoplastic lesions of the female genital tract. Histopathological examination of cervical lesions is essential to make early diagnosis for premalignant and malignant conditions. Aim: To study various histomorphological patterns and age distribution of cervical lesions. Materials and Methods: A retrospective study of total 349 cases of cervical lesions was studied in the Department of Pathology over a period of 3 years at Late BRKM Government Medical College Dimrapal, Bastar (CG). The study included both hysterectomy and cervical biopsy. Various histomorphological patterns were assessed and classified and mean age distribution of cervical lesions were calculated. Results: A total of 349 cases were retrieved from the register of Department of Pathology. The youngest patient was 20 years and oldest patient was 77 years with a mean age of 48.5 years. Out of 349 cases studied, non-neoplastic lesions were 259(74.21%), Preinvasive (Cervical Intraepithelial Lesions) were 11(3.15%) and 79 (22.63%) cases were malignant. Among non-neoplastic cervical lesions, Chronic non-specific Cervicitis was the most common histopathological finding and Squamous Cell Carcinoma was the commonest variant in malignant cervical lesions. Conclusion: Cervical biopsy is valuable in early diagnosis and management of premalignant and malignant lesions.

Keywords

• cervicitis
• chronic non-specific cervicitis
• non-neoplastic
• squamous cell carcinoma