Endometrial Hyperplasia Flashcards
Endometrial hyperplasia is ——————— diagnosis
Histopathological diagnosis
What is preinavasive lesion for endometrial cancer
Endometrial hyperplasia
Can a person with endometrial cancer present with the excessive bleedin
Yes
According to fogsi guidelines what is peri menopausal age
> 40 yrs
According to acog guidelines what is perimenopausal age
> 45 yrs
Atypical uterine bleeding did
Polyp
Adenomyosis
Leiomyoma
Malignancy
Coagulopathy
Ovulatory dysfunction
Endometrial
Iatrogenic
Not otherwise classified
What is the order of investigations done in the patient’s suspected with aub
Utp
Transvaginal sonography
To rule out pathologies and measure endometrial thickness
Y are we doing tvs
To rule out other pathologies
To know the endometrial thickness
When is the endometrial sampling is indicated in reproductive femLe
> 12 mm
High risk female like
Genetic predisposition
Obese
Pros
Hypertension
Diabetes
Tamoxifen use
In which age group irrespective of the a
Endometrial use fimdings the endometrial sample is taken
Peri menopausal women
In menopausal >4 mm is done
Methods of endometrial sampling
Endometrial biopsy
Endometrial aspiration cytology
Endome aspiration cytology is done by
Karman’s cannula
Pippella \vabra aspirator
Most common cause of post menopausal bleeding
Atrophic vaginitis
Senile endometritis
In post menopausal bleeding endometrial thickness >-4 mm
Endometrial sampling +pap smear to rule out carcinoma cervix
Endometrial sampling
Simple hyperplasia without atypical features cystic glandular hyperplasia
Complex hyperplasia without atypical cells
Simple hyperplasia with atypical cells
Complex hyperplasia with atypical features
In Normal endometrium gland :stroma ratio
1:3
No over crowding
No atypical nuclear features
In endometrial hyperplasia without atypia
> 1:3 gland and stroma ratio
Mildly overcrowded glands
Dilated luminal outpouching
Atypical nuclear features absent
In endometrial hyperplasia with atypia
> 1:3 gland and stroma ratio
Overcrowding prominent disorganised gland
luminal outpouching
atypical nuclear cells present
Most common presentation of endometrial hyperplasia
Aub
In pap smear
Atypical glandular cells with unknown significance
Post menopausal women lo>4mm thickness
Hysterectomy incidental finding of endometrium thickness
What are dd of atypical glandular cells of unknown significance
Endometrial hyperplasia
Endometrial carcinoma
Adenocarcinoma of cervix
How about per abdominal and per vaginal examination is there
Normal
Normal
In simple glandular hyperplasia chances of progressions to cancer will be and
Less than 10%
Doc to endometrial hyperplasia
Progesterone is the doc
Antiprolifertive action
2nd line ocps
Mireya can be also available
In endometrial hyperplasia which route of progesterone is preferred i
Iucd mirena is preferred over the oral
Which oral progesterone is preferred
Megestrol
40 mg bd
Continuous is preferred
Over the cyclical
Characteristic appearance of mettoragia hemorrhagic a
Swiss cheese appearance
Eh with atypia
Dilatation and curative or fractional current age
Hysteroscopy
