Article:
Evaluation of leiomyoma: a clinicopathological study in a Tertiary Care Center in Kathmandu

creativeworkseries.issnOnline ISSN: 2676-1424; Print ISSN: 2676-1319
dc.contributor.authorPathak, Rakesh
dc.contributor.authorKhadka, Anu
dc.contributor.authorMaharjan, Bipin
dc.contributor.authorShrestha, Monika
dc.creator.affiliationDepartment of Pathology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Pathology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Pathology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Community Medicine, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.date.accessioned2026-10-13T08:59:41Z
dc.date.available2026-10-13T08:59:41Z
dc.date.issued2024
dc.description.abstractAbstract: Uterine leiomyoma is one of the common gynecological benign tumors. It is usually observed in female of reproductive age group and often presented with symptoms like abdominal pain, dysmenorrhea and fertility disorders. Hysterectomy and myomectomy are the procedure for management of uterine leiomyoma. The prime objective of our study was to evaluate the demographic distribution and clinicopathological changes in hysterectomy and myomectomy specimens with leiomyomas. A descriptive hospital based cross-sectional study was conducted in the Department of Pathology, Nepal Medical College Teaching Hospital (NMCTH), Nepal from May 2023 to October 2023. A total of 57 uterine leiomyoma samples received in the department of Pathology for histopathological examination were included in the study. Ethical approval for the study was obtained from Institutional Review Committee of NMCTH and informed consent was taken from each patient. The tissue biopsies were routinely processed and stained with Hematoxylin and Eosin (H and E). The observed findings were managed in MS Excel sheet and later analyzed using SPSS 17. The most common age group diagnosed with uterine leiomyoma was 41 to 50 years (64.9%). The leiomyomas were highly prevalent in women from Janajati community (47.4%). Pelvic pain, menorrhagia and bleeding disorders were the most frequent clinical manifestations. Intramural was the commonest site (77.2%) and the hyalinization was the most usual secondary changes (19.2%) found. The correlation between age distribution and site of leiomyoma, age distribution and secondary changes and site of leiomyoma and secondary changes were statistically not significant. However, detailed histopathological examination gives many information related to leiomyoma and it is necessary for the effective management.
dc.identifier.doihttps://doi.org/10.3126/nmcj.v26i3.69886
dc.identifier.urihttps://hdl.handle.net/20.500.14572/8168
dc.language.isoen_US
dc.publisherNepal Medical College Pvt. Ltd.
dc.subjectUterine leiomyoma
dc.subjectClinical features
dc.subjectHistopathological examination
dc.subjectDegenerative changes
dc.titleEvaluation of leiomyoma: a clinicopathological study in a Tertiary Care Center in Kathmandu
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage246
oaire.citation.startPage241
relation.isJournalIssueOfPublicationbaa3fbfb-6e39-4595-a694-8c149ce4ad6a
relation.isJournalIssueOfPublication.latestForDiscoverybaa3fbfb-6e39-4595-a694-8c149ce4ad6a
relation.isJournalOfPublication865934c8-5e95-468c-8ca6-7bb2529e4064

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