title: Endometrial hyperplasia: a clinicopathological study in a tertiary care hospital.
abstract: OBJECTIVE
  To evaluate the clinical as well as histomorphologic features in different cases of endometrial hyperplasia along with its relative occurrence.
  
  
  METHODS
  A one-and-a-half-year prospective study was conducted on histopathologically diagnosed cases of endometrial hyperplasia in a tertiary care hospital. Apart from relevant clinical findings, histomorphologic details were noted and statistically analyzed.
  
  
  METHODS
  Maximum number (46.5 %) of endometrial hyperplasia occurred in patients of 41-50 years age group. Majority (55.2 %) of the patients were found to be premenopausal. Menorrhagia was the most common (49.6 %) clinical presentation followed by postmenopausal bleeding (30.8 %). Simple hyperplasia without atypia was the most common type (95.6 %) followed by complex hyperplasia without atypia (3.6 %) and complex hyperplasia with atypia (0.8 %), respectively. The study of gland-stroma ratio revealed 65:35 to be the most frequent (34 %) ratio; variable-sized glands with cystic dilatation (60.4 %) was the commonest gland architecture and most of the cases (99.2 %) showed the absence of atypia. Associated histopathological findings included a case each of endometrial adenocarcinoma and undifferentiated endometrial stromal sarcoma along with the common leiomyoma and progesterone effects.
  
  
  CONCLUSIONS
  Menorrhagia was the most common presenting complaint in cases of endometrial hyperplasia. The cases were mostly in the premenopausal age group. Simple endometrial hyperplasia without atypia was the commonest type diagnosed histopathologically. Histopathological examination along with clinical details is essential to give the final opinion regarding the diagnosis.
authors.affiliation: Department of Pathology, College of Medicine and Sagore Dutta Hospital, Kolkata, India ; Sarsuna Satellite Township, Phase - I, House No. H-1/20, Biren Roy Road (West), Kolkata, 700061 India.
authors.forename: Gargi
authors.initials: G
authors.lastname: Raychaudhuri
authors.affiliation: Department of Pathology, Murshidabad Medical College and Hospital, Berhampore, India.
authors.forename: Anjali
authors.initials: A
authors.lastname: Bandyopadhyay
authors.affiliation: Department of Gynecology and Obstetrics, Institute of Post Graduate Medical Education and Research, Kolkata, India.
authors.forename: Dipnarayan
authors.initials: D
authors.lastname: Sarkar
authors.affiliation: Department of Gynecology and Obstetrics, Institute of Post Graduate Medical Education and Research, Kolkata, India.
authors.forename: Sarbeswar
authors.initials: S
authors.lastname: Mandal
authors.affiliation: Department of Pathology, College of Medicine and Sagore Dutta Hospital, Kolkata, India.
authors.forename: Sajeeb
authors.initials: S
authors.lastname: Mondal
authors.affiliation: Institute of Post Graduate Medical Education and Research, Kolkata, India.
authors.forename: Pradip Kumar
authors.initials: PK
authors.lastname: Mitra
keywords: Endometrium; Hyperplasia; Menorrhagia