Endometrial Hyperplasia: Epidemiological Profile of Patients and Anatomical and Clinical Aspects of Lesions at Conakry University Hospital

Abstract

Summary: Estimate the incidence of endometrial hyperplasia according to \nsocio-demographic parameters and the type of lesions histological. Methodology: This was a retrospective, and 15-year descriptive \nstudy from January 1, 2000 to December 31, 2014 conducted at the Department of Anatomy and Pathological Cytology of \nthe National Hospital Donka in collaboration with the obstetric gynecology \ndepartments of the Conakry University Hospital. Results: We collected \n296 cases of malignant and benign endometrial hyperplasia in 15 years, \naccounting for 37% of all endometrial biopsy curettages examined. The age group \n47 to 56 years was the most affected (81 cases) or 27, 36%. The mean age was \n53.6 years with extremes of 27 and 83 years. Metrorrhagia was the main reason for \nconsultation (206 cases), i.e. 69.59%. The suspicion of endometrial hyperplasia by physicians was the \nmost frequently diagnosed circumstance (149 cases) or 50.33%. Biopsy curettage \nwas the most frequently used method (176 cases), is 59.45%. Histological endometrial \nlesions of atypical complex adenomatous hyperplasia (79 cases) represented \n26.69%. Benign behavior was most frequently observed in (235 cases) or 79.39%. Conclusion: Endometrial hyperplasia is an endometrial lesion whose atypical histological types \nrepresent the borderline lesions between benignity and malignancy.