SS A Retrospective Analysis of Gynecological Polyps at a Tertiary Care Hospital in Karachi

saba Sattar

saba Sattar SMC, JSMU

Keywords: Gynecological polyps, endometrial polyps, endocervical polyps, adenomyomatous polyps, leiomyomatous polyp, fibroepithelial

Abstract

Objectives: To analyze the spectrum of various histological types of the gynecological polyps in a tertiary care hospital in Karachi setup and to identify prevalent age group as well as the common anatomical location of these polyps.

Methodology: This retrospective study was carried out on all histopathologically proven cases of gynecological polyps received in Pathology Department, Basic Medical Sciences Institute, Jinnah Postgraduate Medical Centre, Karachi, between January 1, 2016 to December 31, 2017. The prevalence of various types of polyps was analyzed in simple frequencies, and prevalence of each histological type of the polyps was calculated according to the age and their common anatomical location.

Results:

Mean age of the patients was 41.80 ± 11.87 years and most of the cases (40.96%) were in the fourth decade, followed by fifth (25.5%) and third (15.6%) decades respectively. Frequently encountered polyps were endometrial (33; 39.7%), followed by inflammatory (28; 33.7%), leiomyomatous (12; 14.45%), and adenomyomatous polyps (07; 8.4%) respectively. Only a single fibroepithelial polyp was found. Two polyps (2.4%) were identified as atypical polypoidal lesions.

Conclusion: Gynecological polyps were common in fourth decade. Most of the polyps were located in the endometrium followed by the endocervix. Only two of the polypoidal lesions exhibited atypical morphology.