Difference between revisions of "Endometrial hyperplasia"

Jump to navigation Jump to search
add more refs. +memory device
(add more refs. +memory device)
Line 113: Line 113:
*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]] vs. complex endometrial hyperplasia:
====Endometrial carcinoma versus endometrial hyperplasia====
*Complex endometrial hyperplasia: non-confluent (glands distinct from one another).
Complex endometrial hyperplasia:  
*Endometrial carcinoma - one of the following:<ref name=Ref_GP239>{{Ref GP|239}}</ref>  
*Non-confluent (glands distinct from one another).
*#Cribriform architecture.
 
*#Desmoplastic stromal response.
=====Classic criteria for endometrial carcinoma=====
*#Extensive papillary pattern.
This is pimping material that shows up on exams.
*#Stroma replaced by squamous epithelium.
 
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==
48,847

edits

Navigation menu