Open AccessENDOMETRIAL BIOPSIES PATTERNS AMONG WOMEN ATTENDING MOI TEACHING AND REFERRAL HOSPITAL, KENYA
Author(s) -
Andeso Grace
Publication year - 2021
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/4612441
Subject(s) - medicine , endometrial biopsy , referral , endometrial hyperplasia , gynecology , obstetrics , hyperplasia , medical record , biopsy , pregnancy , endometrium , family medicine , biology , genetics
Background: Endometrial diseases are among the most common gynecological disorders affecting women bothglobally and locally;accounting for 60% of global maternal deaths.Kenya is ranked thirteenth out of 181 countries withthe highest maternal mortality globally. Endometrial disorders such as hyperplasia's, neoplastic, inflammatory andpregnancy related conditions of the endometrium have been reported to increase with demographic traits such asmaternal age and parity.Objective: To determine histopathological patterns of endometrial biopsies among women attending Moi Teachingand Referral Hospital,Kenya.Methods: This was a retrospective laboratory-based study where 121 banked endometrial biopsy blocks collectedfrom participants aged 19 to 70 years between August 2014 and August 2016 were retrieved, re-sectioned and stainedusing routine histological (Hematoxylin and Eosin) stains in the histology laboratory before being sent to the pathologistfor examination. Sociodemographic and reproductive history data were collected from the medical records.Descriptive statistical techniques such as cross-tabulation were used.The median age of all the study participants was 44years.Results: Most of the study participants (39.2%;n=38) presented with simple endometrial hyperplasia.The endometrialpatterns were categorized as Hyperplasias (50.4%; n=61), Inflammatory disorders (7.4%; n=9), Neoplastic Disorders(14.9%;n=18),Pregnancy related disorders (20.7%;n=25) and other patterns (6.6%;n=8)Conclusion: Majority of the study participants presented with simple endometrial hyperplasia followed by complexhyperplasia and adenocarcinoma,respectively.