Among 32 cases (8.5%) of endometrial hyperplasia, 23 cases (6.1%) were of simple cystic hyperplasia and 9 cases (2.4%) were diagnosed as complex hyperplasia, out of which 5 cases (1.3%) were complex hyperplasia without atypia and 4 cases (1.1%) were complex hyperplasia with atypia.
Our study showed 8.5% cases of endometrial hyperplasia, among these 6.1% were of simple cystic hyperplasia and 2.4% were diagnosed as complex hyperplasia, out of which 1.3% were complex hyperplasia without atypia and 1.1% were complex hyperplasia with atypia.
A study22 analysed 2295 endometrial samples from women presenting with AUB from January 1995 to June 2008 and noted that the commonest histopathological diagnosis was secretory endometrium in 571(24.9%) cases, followed by proliferative endometrium in 498(21.7%), endometrial polyp in 227(9.9%), disordered proliferative endometrium in 200(8.7%), simple cystic hyperplasia
in 160(7%), chronic endometritis in 134(5.8%), inactive endometrium in 126(5.5%), atrophic endometrium in 70(3.1%), uterine malignancies in 41(1.8%), complex hyperplasia without atypia in 33(1.4%) and finally complex hyperplasia with atypia in 15(0.7%) cases.
It was not possible to perform a microscopic analysis of the uterus, but macroscopically it was compatible to a moderate endometrial cystic hyperplasia
. A sterile swab was used to collect a sample for microbiological analysis.
Ultrasonographic examinations were done to evaluate the integrity of endometrium, presence of exudates, thickness of uterine wall and cystic hyperplasia
of endometrial glands.
Trans abdominal and transvaginal ultrasonography revealed cystic hyperplasia
of endometrium doubting dysplasia [Fig.
Proliferative endometrium was obtained in 33% cases, secretory endometrium in 26%, cystic hyperplasia
in 25% and CA endometrium in one case.