Pattern of Endometrial Hyperplasia in Aminu Kano Teaching Hospital, Kano, North Western Nigeria

Abstract

Background: Endometrial hyperplasia is an important precursor to endometrial cancer which is the most common gynecological malignancy in the Western world and fourth commonest gynecological cancer in sub–Saharan Africa. This study described the histopathological pattern of Endometrial Hyperplasia seen in Aminu Kano teaching Hospital Kano, North western Nigeria. Materials and Methods: This was a 12-year retrospective review of all endometrial biopsies of patients diagnosed with endometrial hyperplasia seen in Aminu Kano teaching Hospital, Kano from 1st January, 2008 to 31st December 2019. Results: The proportion of endometrial hyperplasia was 6.04 % of all endometrial biopsies and the most common histologic type was simple hyperplasia without atypia. The mean age of patients with endometrial hyperplasia was 40.3 (SD ±11.11) years. The 18–40 years age bracket was the peak age for the non-atypical endometrial hyperplasia, while atypical was found commonly in patients above 41 with a p-value of 0.0001 making it statistically significant. Conclusion: Atypical Endometrial hyperplasia was found to be prevalent among the peri- menopausal age group. Such women will require follow up and definitive management in order to reduce the incidence of endometrial cancer.