Background: Endometrial hyperplasia is the precursor lesion of most endometrial cancers of endometrioid type. The
most commonly used classication system for endometrial hyperplasia is WHO 1994 classication system in which
architecture disruption and cytological atypia are used to identify four types of endometrial hyperplasia including simple or complex hyperplasia
with or without atypia. Newer EIN diagnosis by cytological atypia is of great consideration for the progression to endometrial cancer.
Material And Methods: The study consists of 100 cases of WHO classied endometrial hyperplasia for period of 4 yrs from 2015 to 2019. Type
of sampling procedures- dilation & curettage, endometrial biopsy and fractional curettage.
Objective:
1. To discuss revised criteria for recognition of endometrial intraepithelial neoplasia (EIN).
2. To nd out the sensitivity of endometrial intraepithelial neoplasia (EIN) classication in predicting the risk of malignancy.
Results: This study consists of 100 cases of endometrial hyperplasia. Patients were mostly postmenopausal & presented with abnormal vaginal
bleeding. From WHO classied endometrial lesions, 2 out of 35 cases of simple typical hyperplasia, 10 out of 14 cases of complex typical
hyperplasia,12 out of 20 cases of simple atypical hyperplasia and 20 out of 21 cases of complex atypical hyperplasia were reclassied as EI N.
Conclusion: To estimate the risk of progression to carcinoma and guide clinical management, the histo-pathologic diagnosis of endometrial
hyperplastic lesion is very important, specially the diagnosis of EIN lesions. EIN carries a much greater risk of progression to endometrial
cancer than other WHO classied endometrial hyperplasia.