Endometrial Hyperplasia
This is generally considered a precursor to endometrial cancer, so it requires careful consideration or possible referral to Gynecologic Oncology. Cystic or simple hyperplasia progresses to cancer in less than 5% of cases and can be safely managed with hormonal therapy and close follow-up.
Complex hyperplasia with atypia progresses to cancer in 30 to 45% of cases and is usually managed with hysterectomy.
Types:
Simple or cystic
Complex or adenomatous
With or without atypia