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Endometrioid endometrial adenocarcinoma—very high magnification—H&E stain. In contrast to endometrial carcinomas, the uncommon endometrial stromal sarcomas are cancers that originate in the non-glandular connective tissue of the endometrium. They are generally non-aggressive and, if they recur, can take decades.
Endometrial cancer forms from the lining of the uterus, and uterine sarcoma forms from the muscles or support tissue of the uterus. [1] [2] Endometrial cancer accounts for approximately 90% of all uterine cancers in the United States. [6] Symptoms of endometrial cancer include changes in vaginal bleeding or pain in the pelvis. [1]
Endometrial intraepithelial neoplasia (EIN) is a premalignant lesion of the uterine lining that predisposes to endometrioid endometrial adenocarcinoma. It is composed of a collection of abnormal endometrial cells, arising from the glands that line the uterus , which have a tendency over time to progress to the most common form of uterine cancer ...
Obesity is associated with an increased risk of developing gynecologic cancers such as endometrial and ovarian cancer. [13] For endometrial cancer, every 5-unit increase on the BMI scale was associated with a 50-60% increase in risk. [14] Type 1 endometrial cancer is the most common endometrial cancer. [15]
Uterine clear-cell carcinoma (CC) is a rare form of endometrial cancer with distinct morphological features on pathology; it is aggressive and has high recurrence rate. Like uterine papillary serous carcinoma CC does not develop from endometrial hyperplasia and is not hormone sensitive, rather it arises from an atrophic endometrium.
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Endometrial stromal tumours are a type of mesenchymal tumor of the main body of the uterus. [1] Types include endometrial stromal nodule , the distinct low and high-grade endometrial stromal sarcomas , and undifferentiated uterine sarcoma.
(E): endometrial atypical hyperplasia (Left: HE × 10) and endometrial atypical cells (Right: HE × 200) (F) endometrial carcinoma (Left: HE × 400) and endometrial cancer cells (Right: HE × 400). Chorionic tissue can result in marked endometrial changes, known as an Arias-Stella reaction , that have an appearance similar to cancer . [ 15 ]