Endometrial Hyperplasia

Question 1

Endometrial hyperplasia is ——————— diagnosis

Answer 1

Histopathological diagnosis

Question 2

What is preinavasive lesion for endometrial cancer

Answer 2

Endometrial hyperplasia

Question 3

Can a person with endometrial cancer present with the excessive bleedin

Answer 3

Yes

Question 4

According to fogsi guidelines what is peri menopausal age

Answer 4

> 40 yrs

Question 5

According to acog guidelines what is perimenopausal age

Answer 5

> 45 yrs

Question 6

Atypical uterine bleeding did

Answer 6

Polyp
Adenomyosis
Leiomyoma
Malignancy
Coagulopathy
Ovulatory dysfunction
Endometrial
Iatrogenic
Not otherwise classified

Question 7

What is the order of investigations done in the patient’s suspected with aub

Answer 7

Utp
Transvaginal sonography
To rule out pathologies and measure endometrial thickness

Question 8

Y are we doing tvs

Answer 8

To rule out other pathologies
To know the endometrial thickness

Question 9

When is the endometrial sampling is indicated in reproductive femLe

Answer 9

> 12 mm
High risk female like
Genetic predisposition
Obese
Pros
Hypertension
Diabetes
Tamoxifen use

Question 10

In which age group irrespective of the a
Endometrial use fimdings the endometrial sample is taken

Answer 10

Peri menopausal women
In menopausal >4 mm is done

Question 11

Methods of endometrial sampling

Answer 11

Endometrial biopsy
Endometrial aspiration cytology

Question 12

Endome aspiration cytology is done by

Answer 12

Karman’s cannula
Pippella \vabra aspirator

Question 13

Most common cause of post menopausal bleeding

Answer 13

Atrophic vaginitis
Senile endometritis

Question 14

In post menopausal bleeding endometrial thickness >-4 mm

Answer 14

Endometrial sampling +pap smear to rule out carcinoma cervix

Question 15

Endometrial sampling

Answer 15

Simple hyperplasia without atypical features cystic glandular hyperplasia

Complex hyperplasia without atypical cells

Simple hyperplasia with atypical cells

Complex hyperplasia with atypical features

Question 16

In Normal endometrium gland :stroma ratio

Answer 16

1:3
No over crowding
No atypical nuclear features

Question 17

In endometrial hyperplasia without atypia

Answer 17

> 1:3 gland and stroma ratio
Mildly overcrowded glands
Dilated luminal outpouching

Atypical nuclear features absent

Question 18

In endometrial hyperplasia with atypia

Answer 18

> 1:3 gland and stroma ratio

Overcrowding prominent disorganised gland
luminal outpouching
atypical nuclear cells present

Question 19

Most common presentation of endometrial hyperplasia

Answer 19

Aub
In pap smear
Atypical glandular cells with unknown significance

Post menopausal women lo>4mm thickness

Hysterectomy incidental finding of endometrium thickness

Question 20

What are dd of atypical glandular cells of unknown significance

Answer 20

Endometrial hyperplasia
Endometrial carcinoma
Adenocarcinoma of cervix

Question 21

How about per abdominal and per vaginal examination is there

Answer 21

Normal
Normal

Question 22

In simple glandular hyperplasia chances of progressions to cancer will be and

Answer 22

Less than 10%

Question 23

Doc to endometrial hyperplasia

Answer 23

Progesterone is the doc
Antiprolifertive action

2nd line ocps
Mireya can be also available

Question 24

In endometrial hyperplasia which route of progesterone is preferred i

Answer 24

Iucd mirena is preferred over the oral

Question 25

Which oral progesterone is preferred

Answer 25

Megestrol
40 mg bd

Continuous is preferred
Over the cyclical

Question 26

Characteristic appearance of mettoragia hemorrhagic a

Answer 26

Swiss cheese appearance

Question 27

Eh with atypia

Answer 27

Dilatation and curative or fractional current age
Hysteroscopy