05-12-2009, 03:31 PM
A 47-year-old woman undergoes endometrial biopsy because she has had repeated episodes of irregular
spotting between periods lately. The biopsy shows strips of endometrium bearing long, narrow,
coiled glands lined by a single layer of columnar epithelium showing regular, uniform, small
nuclei and clear apical vesicles. Which of the following is the most likely diagnosis?
A. Atypical hyperplasia
B. Complex hyperplasia without atypia
C. Proliferative endometrium
17
D. Secretory endometrium
E. Simple hyperplasia
spotting between periods lately. The biopsy shows strips of endometrium bearing long, narrow,
coiled glands lined by a single layer of columnar epithelium showing regular, uniform, small
nuclei and clear apical vesicles. Which of the following is the most likely diagnosis?
A. Atypical hyperplasia
B. Complex hyperplasia without atypia
C. Proliferative endometrium
17
D. Secretory endometrium
E. Simple hyperplasia