By Dr. Shen-yi Li, Dr. En-yu Wang (auth.)

During the prior twenty years, endometrial carcinoma has persisted to extend in frequency and it really is rather attainable that this carcinoma turns into the foremost gynecologic malignancy sooner or later. for a few years, endometrial carcinoma used to be thought of much less malignant than different gynecologic malignancies, uncomplicated hysterectomy and bil­ ateral salpingo-oophorectomy or surgical procedure mixed with radiation being powerful in yes conditions. it truly is unlucky to notice that the worldwide 5-year survival price for sufferers with complex or recurrent endometrial carcinoma has enhanced purely a bit. accordingly any complacency relating to this 'benign malignancy' may be reconsidered. there's a transforming into information of the character of finish­ ometrial carcinoma, with advances in our wisdom starting from its etiology via its epidemiology to its medical findings. This quantity has been designed to fill a hiatus within the literature in China. to accomplish this target, we've tried to check the world-wide advances on endometrial carcinoma and summarize systematically and comprehensively this universal gynecologic malig­ nancy, together with the medical stories accumulated on the melanoma Institute (Hospital) of the chinese language Academy of clinical Sciences when you consider that 1958 in addition to a quick description of the mental difficulties in sufferers with gyneco­ good judgment cancers.

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Glandular hyperplasia with atypia is biologically and fundamentally different from cystic glandular hyperplasia and it is possible that the lesion called glandular hyperplasia with atypia is not a true hyperplasia but basically represents a neoplastic reaction. Therefore, glandular hyperplasia with atypia is generally considered a precancerous lesion. Adenomatoid hyperplasia is rare but usually occurs focally in an otherwise normal endometrium and, therefore, there are no grounds for believing that it is related to estrogen stimulation.

Synopsis of gynecological oncology. New York, John Wiley & Sons 117 Ferenczy A, Richart RM (1974) Female reproductive system: dynamics of scan and transmission electron microscopy. Wiley, New York Ferenczy A (1978) The histogenesis and cytodynamics of endometrial hyperplasia and neoplasia. In: Richardson GS, Machanglin DT (eds) Hormonal biology of endometrial cancer. International Union Against Cancer, Geneva Feyrter F (1938) Uber diffuse endokrinen epitheliate Organe. Barth, Leipzig FIGO (1970) Classification and staging of malignant tumors in the female pelvis, accepted by the General Assembly ofFIGO in New York, Apr 12, 1970.

Pseudostratification, if present, is patchy and minimal. Mitoses in both stroma and glands are variable but may usually be found without much difficulty. Atypical mitoses are not encountered. The ratio of stroma to glands is normal, since the stroma shares in the hyperplastic process and usually appears markedly cellular. " Fig. 15. Cystic glandular hyperplasia of endometrium. 2 Adenomatoid Hyperplasia (Fig. 16) Adenomatoid hyperplasia is a rare lesion and invariably focal in nature. It is characterized by a simple excess of glands of normal shape and approximately normal size, with a marked reduction in the intervening stroma.

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