Premium
The pathology of hysterectomy specimens following trans‐cervical resection of the endometrium
Author(s) -
McCULLOCH T.A.,
WAGNER B.,
DUFFY S.,
BARIK S.,
SMITH J.H.F.
Publication year - 1995
Publication title -
histopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.626
H-Index - 124
eISSN - 1365-2559
pISSN - 0309-0167
DOI - 10.1111/j.1365-2559.1995.tb00325.x
Subject(s) - adenomyosis , endocervix , diathermy , myometrium , endometrium , hysterectomy , medicine , electrosurgery , pathology , hyperplasia , pathological , uterus , surgery , endometriosis , carcinoma , uterine cervix
The pathological findings in 29 hysterectomy specimens from a series of 175 patients undergoing trans‐cervical resection of the endometrium are presented. In all but one case endometrium was present. Although all phases of the normal menstrual cycle were represented, in nine (28%) cases the endometrium appeared inactive, sometimes showing appearances similar to those in Asherman's syndrome. Adenomyosis was present in five (17%) cases and simple hyperplasia in one case. Haematocolpos was present in two cases. Inflammation was uncommon, usually mild in degree and present in the superficial myometrium. Four (14%) cases contained epithelioid or foreign body granulomas in the superficial myometrium. Deposits of haemosiderin and amorphous brown and/or particulate black pigment were seen in a total of 20 (69%) cases. A combination of transmission electronmicroscopy and energy dispersive analysis of X‐rays showed these pigments to be a combination of charred organic material and metals, the latter corresponding to the composition of the diathermy cutting loop and electrocautery rollerball used in the ablative surgery.