The Relationship Between Age and Histopathological Patterns of Endometrial Hyperplasia at Dr. H. Abdul Moeloek Regional Hospital, Lampung Province, 2021–2024
DOI:
https://doi.org/10.53366/jimki.v12i3.1019Keywords:
Age; Endometrial hyperplasia; HistopathologyAbstract
Background: Endometrial hyperplasia is a proliferative condition with potential to develop into precancerous lesions. Hormonal imbalance, particularly estrogen dominance without progesterone opposition, is considered a key factor in its development. This study aimed to analyze the relationship between age and histopathological patterns of endometrial hyperplasia at Dr. H. Abdul Moeloek Regional Hospital, Lampung Province. Method: An analytical observational study with a cross-sectional design was conducted using medical records of patients with endometrial hyperplasia from 2021 to 2024. Total sampling was used to include all eligible cases. Fisher’s exact test was applied to examine the association between age and histopathological type. Results: Of the 31 included samples, most patients were aged ?45 years, with non-atypical hyperplasia being the most common. Analysis showed a significant association between age and histopathological type, with a higher prevalence of atypical hyperplasia observed in older patients. Discussion: Age plays a significant role in the histopathological patterns of endometrial hyperplasia. Hormonal changes during perimenopause and postmenopause contribute to an increased risk of atypical lesions with advancing age. Conclusion There is a significant association between age and the histopathological patterns of endometrial hyperplasia, with older age groups showing a higher proportion of atypical hyperplasia.
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