43 nonneoplastic lesions include chronic polypoid endocervicitis (CPEC- 10 cases), Koilocytes (3 cases), chronic cervicitis
(12 cases), normal study (10 cases), acute-on-chronic cervicitis
(7 cases), only haemorrhage (1 case).
Of the 47 normal Pap reports only one had suspicious colposcopy which on biopsy revealed chronic cervicitis
Of these, 174 patients presented with cervical lesions such as chronic cervicitis
(159 cases), cervical polyp (09 cases) and squamous cell carcinoma of cervix (06 cases).
Other findings were mild chronic cervicitis
, secretory endometrium, myometrium with no specific lesion, and bilateral fallopian tubes with no specific lesion.
The pathological results from colposcopy and biopsy showed chronic cervicitis
Follicular (lymphocytic) cervicitis is a form of chronic cervicitis
characterized by the presence of lymphoid follicles, often with germinal centers, affecting the sub-epithelium of the uterine cervix and/or vagina.
At the local clinic, the original histopathologic diagnosis was of leiomyoma, adenomyosis uteri, chronic cervicitis
and atypical glandular hyperplasia of endocervical glands.
Conclusion: In patients with menorrhagia the commonest neoplastic lesion was leiomyoma (69%), and commonest histopathological cervical lesion as chronic cervicitis
Concomitant histopathologic findings included acute and chronic cervicitis
in 4 patients, squamous meta plasia of the endometrium in 3 patients, leiomyomata of the uterus in 3 patients, complex hyperplasia with or without atypia of the endometrium in 2 patients, endometrial adenocarcinoma in 2 patients, endometritis in 2 patients, and atypical polypoid adenomyoma in 1 patient, benign endometrial polyps in 1 patient, and adenomyosis in 1 patient.
Her medical history was notable for multiple surgical procedures: total abdominal hysterectomy in 1970 for chronic cervicitis
with cystourethrocele and chronic pelvic congestion; bilateral salpingo-oophorectomy, appendectomy and Burch procedure in 1983 for vaginal relaxation and menopause; and two postabortion dilation and curettage procedures.
Histopathological Findings of Cervical Biopsy Number of Percentage Biopsy Report Cases (%) Chronic cervicitis
25 50 Endocervical polyp 6 12 CIN-I, II 5 10 CIN-III 2 4 Squamous cell carcinoma 6 12 Adenocarcinoma of cervix 1 2 Table 5.
The results were 5% normal, 33% showed chronic cervicitis
19% had -metaplasia, 32% had dysplasia 3.