Association of Cervical Microglandular Hyperplasia With Exogenous Progestin Exposure

Journal of Lower Genital Tract Disease
Debra S HellerLaura T Goldsmith

Abstract

Although microglandular hyperplasia is a benign endocervical lesion, it may raise concern of malignancy in an inexperienced pathologist, because clinicians may not be familiar with it on a report. It has been reported to occur in association with progestational stimulation, but this has not been well studied. The aim of the study was to evaluate this potential association. This was an observational case control study of patients seen from January 01, 1991 to November 01, 2014 at the University Hospital, Newark, New Jersey. Cases of microglandular hyperplasia and controls were identified from the files of the Department of Pathology. Controls were cases of endocervical curettages for whom no microglandular hyperplasia was detected. Medical records were reviewed for evidence of exogenous progestin exposure within the previous 6 months. Eighty-nine cases of microglandular hyperplasia and 97 controls were identified. Of the cases of microglandular hyperplasia, 26 (29.2%) of 89 cases had exposure to progestational medication, significantly greater than that of controls (10/97, 10.3%; p = .0014). Our data show that a significantly higher percentage of women with microglandular hyperplasia had progestin exposure than women who do not ...Continue Reading

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Citations

Feb 5, 2021·Journal of Gynecology Obstetrics and Human Reproduction·Rosa Montero-MacíasAnne-Sophie Bats

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