jimki

The Relationship Between Age and Histopathological Patterns of Endometrial Hyperplasia at Dr. H. Abdul Moeloek Regional Hospital, Lampung Province, 2021–2024

Authors

  • Salsa Nurfajri Yuska

    Lampung University
  • Nur Ayu Virginia Irawati

    Lampung University
  • Nurul Islamy

    Lampung University
  • Indri Windarti

    Lampung University

DOI:

https://doi.org/10.53366/jimki.v12i3.1019

Keywords:

Age; Endometrial hyperplasia; Histopathology

Abstract

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.

 

Author Biographies

  • Salsa Nurfajri Yuska, Lampung University

    Medical Education, Faculty of Medicine, University of Lampung, Bandar Lampung

  • Nur Ayu Virginia Irawati, Lampung University

    Department of Anatomy, Faculty of Medicine, University of Lampung, Bandar Lampung

  • Nurul Islamy, Lampung University

    Department of Obstetrics and Gynecology, Faculty of Medicine, University of Lampung, Bandar Lampung

  • Indri Windarti, Lampung University

    Department of Anatomical Pathology, Faculty of Medicine, University of Lampung, Bandar Lampung

References

1. ACS. 2025. Endometrial Cancer Risk Factors Endometrial Cancer Causes, Risk Factors, and Prevention. American Cancer Society. pp. 1–10.

2. Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians. 2021; 71(3): 209–249.

3. Gu, B., Shang, X., Yan, M., Li, X., Wang, W., Wang, Q., et al. Variations in incidence and mortality rates of endometrial cancer at the global, regional, and national levels, 1990–2019. Gynecologic Oncology. 2021; 161(2): 573–580.

4. Kurman RJ, Ellenson LH, Ronnett BM. Blaustein’s Pathology of the Female Genital Tract. 7th ed. Springer; 2019.

5. Nees, L. K., Heublein, S., Steinmacher, S., Juhasz-Böss, I., Brucker, S., Tempfer, C. B., et al. Endometrial hyperplasia as a risk factor of endometrial cancer. Archives of Gynecology and Obstetrics. 2022; 306(2):407–421.

6. Kayalvizhi, S. A clinic-pathological study of endometrial hyperplasia in a rural teaching hospital. Journal of Medical Science And clinical Research. 2020; 8(11): 49–54.

7. Mohammed, M., & Ahmed, N. Endometrial hyperplasia: Different classification systems and advantages of who 2014 classification system. SVU-International Journal of Medical Sciences. 2020; 4(2): 150–154.

8. Petersdorf, K., Groettrup-Wolfers, E., Overton, P. M., Seitz, C., & Schulze-Rath, R. Endometrial hyperplasia in pre-menopausal women: A systematic review of incidence, prevalence, and risk factors. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2022; 271: 158–171.

9. Hermann, C., Williams, K., & Ko, E. M. Endometrial Hyperplasia. Obstetric, Gynaecology, and Reproductive medicine. 2023; 17(6): 1029–1047

10. Kurman RJ, Ellenson LH, Ronnett BM. Blaustein’s Pathology of the Female Genital Tract. 7th ed. Springer; 2019.

11. Pennant ME, Mehta R, Moody P, Hackett G, Prentice A, Sharp SJ, et al. Premenopausal abnormal uterine bleeding and risk of endometrial cancer. BJOG. 2017; 124(3):404–411.

12. Dewi S, Theodora I, Novita BD, Widyasari Y, Gunadi R, Suhardi MA, et al. 2021. Epidemiologic Study of Endometrial Lesion Characteristics by Age in Pathology Diagnostic Center in Surabaya 2015–2017. Jurnal Widya Medika. 2021; 7(1):47–59.

13. Wang L, Zhang Y, Li J. A Review of Risk Factors Associated with Endometrial Thickness During the Perimenopausal Period. Cureus. 2024.

Published

2026-01-14

How to Cite

The Relationship Between Age and Histopathological Patterns of Endometrial Hyperplasia at Dr. H. Abdul Moeloek Regional Hospital, Lampung Province, 2021–2024. (2026). JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia, 12(3), 1240-1248. https://doi.org/10.53366/jimki.v12i3.1019