Clinicopathological Correlation of Leiomyoma undergoing Myomectomy in a Tertiary Care Hospital

AbstractObjective: To evaluate clinic pathological correlation of Leiomyomas undergoing myomectomy intertiary care hospital.Methodology: This cross-sectional study was conducted at Gynaecology and ObstetricsDepartment, Services Institute of Medical Sciences Lahore, from June2019 to September 2022 on asample of 123 eligible patients. After a detailed history investigations and clinical examination, e.g.CBC, blood grouping, fasting blood sugar, ESR, ultrasound scan, laparotomy was performed and thesize of uterus, tubal and ovaries condition and total number and location of fibroids we noted. A tubalpatency test using methylene blue was performed. Histopathological examination was performed toconfirm any endometrial pathology or degenerative process. The data was analysed SPSS 21.0.Categorical variables like demographic profile, clinical characteristics, and location of myoma werepresented as frequency and percentages.Results: Mean age was 25.23±5.623 years. In the study population, 69.1% were nulliparous. Heavymenstrual bleeding was the commonest symptom, constituting 44.7%, mass in abdomen in 30.1%,infertility in 22% and dysmenorrhea in 3.3% cases. Most common site of leiomyoma was Intramural(51.21%), Subseroal 29.26%, and Submucous 19.51%.Conclusion: The study concluded that leiomyoma is one of the most common diseases ofreproductive age.Keywords: Clinicopathological correlation, leiomyomas, fibroids, uterine fibroids