Endometrium with hyperplasia without atypia

Clinical story

48 year old woman with menorrhagia. A pipelle is submitted for examination.

Virtual microscopy of the slide

Comments

An endometrium with enlarged cystic glands is seen. Normal appearing glands are also seen in areas. There is no crowding of glands and no cytologic atypia. Only few mitotic figures are seen and many if the cystic glands show a fallopian tube-type (serous) epithelium, a phenomenon which is a common response to increased estrogen.

Learning goals

To achieve knowledge about the different types and stages of hyperplasia of the endometrium.