Diagnosing endometrial cytology based on glandular structure

Abstract

Endometrial cytology involves many difficulties, in part because criteria for differential cytological diagnosis is not standardized. To improve the accuracy of endometrial cytology, it is important to observe the architecture of cellular clumps and to standardize sampling. With these consideration in mind, we considered that grasping the number and frequency of appearance of abnormalcellular clumps were very important.
Although some cases can be presumed based on the type of abnormal cellular clump, this has limitations so at our institution, we diagnose all endometrial hyperplasia as suspicious.
In conclusion, we propose taking sufficient consensus before definitively diagnosing suspicious cases.