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Difference between revisions of "Endometrial hyperplasia"
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=Overview= | =Overview= | ||
The | ===WHO endometrial hyperplasia classification of 2014=== | ||
The 2014 WHO system only has two categories:<ref name=pmid25797956 >{{Cite journal | last1 = Emons | first1 = G. | last2 = Beckmann | first2 = MW. | last3 = Schmidt | first3 = D. | last4 = Mallmann | first4 = P. | title = New WHO Classification of Endometrial Hyperplasias. | journal = Geburtshilfe Frauenheilkd | volume = 75 | issue = 2 | pages = 135-136 | month = Feb | year = 2015 | doi = 10.1055/s-0034-1396256 | PMID = 25797956 }}</ref> | |||
*Hyperplasia without atypia. | |||
*Atypical hyperplasia/endometrioid intraepithelial neoplasia. | |||
===WHO endometrial hyperplasia classification of 1994 | ===WHO endometrial hyperplasia classification of 1994=== | ||
The WHO system | The 1994 WHO system is based on determining:<ref name=pmid25797956>{{Cite journal | last1 = Emons | first1 = G. | last2 = Beckmann | first2 = MW. | last3 = Schmidt | first3 = D. | last4 = Mallmann | first4 = P. | title = New WHO Classification of Endometrial Hyperplasias. | journal = Geburtshilfe Frauenheilkd | volume = 75 | issue = 2 | pages = 135-136 | month = Feb | year = 2015 | doi = 10.1055/s-0034-1396256 | PMID = 25797956 }}</ref> | ||
# Gland density (normal = ''simple hyperplasia'', high density = ''complex hyperplasia''). | # Gland density (normal/low = ''simple hyperplasia'', high density = ''complex hyperplasia''). | ||
# Presence/absence of nuclear atypia. | # Presence/absence of nuclear atypia. | ||
It consists of four categories | |||
*[[Simple endometrial hyperplasia]]. | |||
*[[Simple endometrial hyperplasia with atypia]]. | |||
*[[Complex endometrial hyperplasia]]. | |||
*[[Complex endometrial hyperplasia with atypia]]. | |||
===Alternate classifications - overview=== | ===Alternate classifications - overview=== | ||
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#Endometrial intraepithelial neoplasia (EIN). | #Endometrial intraepithelial neoplasia (EIN). | ||
==WHO classification== | ==WHO classification of 1994== | ||
===Management of endometrial hyperplasia=== | ===Management of endometrial hyperplasia=== | ||
*Endometrial hyperplasia with atypia is usually treated with hysterectomy.<ref>URL: [http://www.aafp.org/afp/990600ap/3069.html http://www.aafp.org/afp/990600ap/3069.html].</ref> | *Endometrial hyperplasia with atypia is usually treated with hysterectomy.<ref>URL: [http://www.aafp.org/afp/990600ap/3069.html http://www.aafp.org/afp/990600ap/3069.html].</ref> | ||