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*Two "touching" glands may be one gland in section. | *Two "touching" glands may be one gland in section. | ||
DDx: | |||
*[[Complex endometrial hyperplasia with atypia]]. | |||
*[[Endometrioid endometrial carcinoma]] - see ''[[endometrial carcinoma versus complex endometrial hyperplasia]]''. | |||
Image: | Image: | ||
*[http://www.webpathology.com/image.asp?n=1&Case=568 Endometrial hyperplasia (webpathology.com)]. | *[http://www.webpathology.com/image.asp?n=1&Case=568 Endometrial hyperplasia (webpathology.com)]. | ||
====Endometrial carcinoma versus endometrial hyperplasia==== | |||
Complex endometrial hyperplasia: | |||
*Non-confluent (glands distinct from one another). | |||
=====Classic criteria for endometrial carcinoma===== | |||
This is pimping material that shows up on exams. | |||
* | |||
Endometrial carcinoma has one of the following:<ref name=Ref_GP239>{{Ref GP|239}}</ref><ref>{{Cite journal | last1 = Kurman | first1 = RJ. | last2 = Norris | first2 = HJ. | title = Evaluation of criteria for distinguishing atypical endometrial hyperplasia from well-differentiated carcinoma. | journal = Cancer | volume = 49 | issue = 12 | pages = 2547-59 | month = Jun | year = 1982 | doi = | PMID = 7074572 }}</ref><ref>URL: [http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2011/Endometrium_11protocol.pdf http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2011/Endometrium_11protocol.pdf]. Accessed on: 12 January 2012.</ref> | |||
#Desmoplastic stromal response. | |||
#Confluent cribriform growth. | |||
#Extensive papillary growth. | |||
#Severe cytologic atypia. | |||
How to remember '''ABCDE''': | |||
*'''A'''typia '''B'''ad. | |||
*'''C'''onfluent cribriform growth. | |||
*'''D'''esmoplasia. | |||
*'''E'''xtensive papillary growth. | |||
==Complex endometrial hyperplasia with atypia== | ==Complex endometrial hyperplasia with atypia== |
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