Frequency of Smooth Muscle Tumors and Adenomyosis in Patient with Previous History of Cesarean Section and the Fate of the Cesarean Section Scar: A Long Term Follow-Up Study
Brendan Eklund*, C James Sung and M Ruhul Quddus
Department of Pathology, Women & Infants Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
- *Corresponding Author:
- Brendan Eklund
Department of Pathology
Women & infants Hospital
101 Dudley Street Providence
RI 02905, USA,
Tel: (401) 274-1122 ext. X41950
Fax: (401) 453-7681
E-mail: [email protected]
Received Date: October 09, 2013; Accepted Date: December 04 2013; Published Date: December 06, 2013
Citation: Eklund B, Sung CJ, Quddus MR (2013) Frequency of Smooth Muscle Tumors and Adenomyosis in Patient with Previous History of Cesarean Section and the Fate of the Cesarean Section Scar: A Long Term Follow-Up Study. Anat Physiol 4:129. doi: 10.4172/2161-0940.1000129
Copyright: © 2013 Eklund B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Leiomyoma and adenomyosis are two common pathologic entities encountered in hysterectomy specimens. It is often speculated, but not confirmed, that repeated injury to uterine wall may initiate smooth muscle proliferation resulting in a smooth muscletumor. Similarly injury to the wall may lead to entrapment of endometrium in muscle layer leading to adenomyosis. To evaluate the above questions and assess the long term morphologic appearance of the C-section scar, 55 consecutive hysterectomies with previous history of C-section and 45 control cases were studied to evaluate the frequency of leiomyoma and adenomyosis. Our findings show no significant statistical difference in the frequency of such lesions between study and control groups in this series. Besides the scar formation, only rare instances of cystic change, osseous metaplasia and abnormal vasculature were noted at the site of C-section incision in the uterus.