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Endometrial Hyperplasia - The Types Involved
Endometrial Hyperplasia is one of the most feared diagnosis a patient can have. The public views this disorder as a stepping-stone towards uterine cancer. Misconception is running around in terms of this disorder. The disorder endometrial hyperplasia has different categories. The knowledge about these categories provides more background to the public especially for those who are anxious about this disease. Endometrial Hyperplasia is not entirely cancerous but can progress to uterine cancer.
Endometrial Hyperplasia is brought by the excessive thickening of the endometrium because of the hormonal alteration happening in the uterine cavity. The hormone responsible for this thickening is estrogen. It is a growth-stimulating hormone that induces the cellular hyperplasia in the area. The hormone responsible for the negation and regulation of this mechanism is Progesterone. It regulates the rate of cellular division in the area in order to prevent excessive thickening of the endometrium. If conception does not occur, the endometrial lining sheds and expelled from the body as menstruation. However, there are cases wherein progesterone decreases or becomes absent leading to the exponential cellular division in the endometrium. No regulation is present and estrogen still induces the cellular proliferation thus excessive thickening of the endometrial lining occurs.
Many people consider this ailment as a pre-cancer complication. It is however not entirely correct. There are four types of this disorders that have to be considered if we are going to link Endometrial Hyperplasia with cancer. Endometrial hyperplasia is divided into two categories, which are simple or complex hyperplasia without atypia (means cellular alteration or abnormality) and simple or complex hyperplasia with atypia.
Simple hyperplasia without atypia is the irregular and cystic proliferation of the glands in the uterine cavity. The cells become irregular in shape and pile up resulting to endometrial thickening. This is induced by the increasing estrogen and decreasing levels of progesterone. It is usually resolved by D and C and sometimes just by the normal menstruation. The structures of these cells particularly the organelles are also unchanged. This condition is considered the least dangerous type of endometrial hyperplasia. Complex hyperplasia is the crowding or budding of the glands. This condition is more irregular and usually resolved by pharmacotherapy and D and C but not with the regular menstruation. The induction of progesterone hormone forcibly shed the endometrium lining. These conditions are less likely to cause uterine cancer. Epidemiological studies indicate that less than 2% of the people diagnosed with these conditions develop uterine cancer.
Simple hyperplasia with atypia comprises several cellular alterations that are similar to cancer cells. The cells manifest extreme piling or stratification, altered organelles particularly the nucleus and continues to divide rapidly and exponentially. Complex hyperplasia with atypia also shows organelle alteration accompanied by cellular budding and extreme stratification. These conditions have the greatest risk for the development of uterine cancer. These conditions seldom respond to progesterone therapy and those who have had hysterectomies developed uterine cancer. Anxiety is common for those people diagnosed with this complication. The risks are well defined in this study and shows that not all people who contacts this hyperplasia develops uterine cancer.
Article Source: http://www.drleetcmclinic.com/Health_Conditions/31.html
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