2014, Number 3
Revista Cubana de Obstetricia y Ginecología 2014; 40 (3)
Characterization of endometrial hyperplasia at 'Prof. Eusebio Hernández' Gynecobstetric Teaching Hospital
Perera BOM, Molina PL, Torres TJ
PDF size: 83.84 Kb.
ABSTRACTIntroduction: endometrial hyperplasia is a proliferation of endometrial glands in size and irregular shape, caused by excessive exposure to estrogen.
Objective: to characterize the endometrial hyperplasia in patients at Eusebio Hernández Hospital in 2011.
Method: a descriptive study was conducted. 2842 pathology reports were reviewed in the Department of Pathology, at ''Profesor Eusebio Hernández" Gynecobstetric Hospital in Marianao, Havana from January 1st to December 31st, 2011. 1269 of them were for endometrial biopsies obtained by curettage.
Results: 154 endometrial biopsies (12.1 %) had the diagnosis of endometrial hyperplasia. The age range of diagnosis was more frequent for women between 41 and 50 years and the highest percentage of patients (84.4 %) were diagnosed with simple hyperplasia without atypia; while 7.1 % of the cases showed atypia. The associated risk factor was obesity in 46.1 % of cases. Ultrasound had positivity in patients with atypical endometrial 90.9 % and 100% hysteroscopy. Hormone therapy was used in 67.5 % of patients and surgical treatment was used in all patients with cellular atypia.
Conclusions: there was a predominance of endometrial hyperplasia without atypia in women aged between 41 and 60 and with low parity and a low occurrence of atypical hyperplasia.