Comparative Study of Diagnostic Accuracy of Ultrasonography Vs Histopathology in Patients Undergoing Hysterectomy Due To Uterine Pathologies

Abstract

Aim: To compare the diagnostic accuracy of ultrasonography vs histopathology in patients undergoing hysterectomy due to uterine pathologies

Materials and method: a cross sectional study was conducted in the Department of Gynecology. A total of 100 women fulfilling the predefined eligibility criteria were enrolled. Married, multiparous women aged 18–45 years with clinically suspected uterine pathology on ultrasonography and subsequent histopathological confirmation were included in the study.

Results: Among 100 women undergoing hysterectomy, 84 (84.0%) were aged ≥40 years and 16 (16.0%) were <40 years. Benign uterine pathology accounted for 98% of cases, with fibroid being the most common ultrasonographic finding (62.5%), followed by adenomyosis (15.0%), endometrial hyperplasia (12.5%), and endometrial polyp (10.0%). Histopathology identified leiomyoma as the predominant pathology (59%), followed by endometrial hyperplasia (15%) and adenomyosis (14%). Ultrasonography demonstrated high diagnostic accuracy for adenomyosis and endometrial polyp (98.75% each), followed by fibroids (96.25%) and endometrial hyperplasia (95.0%).

Conclusion: Histopathological findings correlated well with preoperative ultrasonography. Ultrasound showed high diagnostic accuracy and can be used as a first-line modality for detecting uterine pathologies and guiding referral for hysterectomy.