Hallazgos histopatológicos de histerectomías realizadas con diagnóstico de miomatosis uterina en pacientes entre los 30 - 60 años en el Hospital Teodoro Maldonado Carbo durante el periodo 2019-2021.

Abstract

Introduction: Uterine myomatosis is the most frequent female pathology that occurs in the walls of the uterus of women affecting them between 20 to 40% during their reproductive age. Objective: To determinate the histopathological findings in hysterectomies performed with a diagnosis of uterine myomatosis in patients between 30-60 years old at the Teodoro Maldonado Carbo Hospital during the period 2019-2021. Materials and method: The research work it is cross-sectional, observational, retrospective, and descriptive in design. Data collection was obtained through qualitative analysis of medical records. The universe was made up of a total of 2846 patients, of these group 1283 patients were excluded for not meeting the inclusion criteria, obtaining a population of 1563 patients, the probabilistic sample size was calculated with a confidence level of 95% and a margin of error of 5% resulting in a sample of 310 patients and applied a systematic non-random sampling finally including 390 patients as a final sample of the study. Results: The year in which there was more predominance of hysterectomies performed for uterine myomatosis was in 2021, with a total of 208 interventions; However, in 2020, fewer hysterectomies were performed with a total of 66 cases. The most frequent type of fibroid is intramural fibroid, occurring in 56% of cases, and the least frequent was subserosal myoma with an occurrence of 0.02% of cases. The most frequent histopathological finding was cervicitis with a total of 335 cases (86%), followed by adenomyosis with a total of 98 cases (25%) and the lowest frequency was leiomyosarcoma with only 1 case of onset.