Table 2.
Clinical, morphological and immunohistochemical features of atypical microglandular proliferations
| Patient history | Morphological description | Immunohistochemical stain | Follow‐up diagnosis | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Case | Age | Hormone therapy use | Postmenopausal? | Site/procedure | Gland architecture | Luminal secretions/mucin | Subnuclear vacuoles | Foamy histiocytes | Inflammation | Luminal squamous metaplasia | Cytological atypia | Mitotic figures per 10 HPG | p63 | PTEN | |
| 1 | 93 | NA | Yes | Endometrium/curettage | Small, tightly packed | Present | Absent | Present | Moderate | Present | Absent | 0 | Positive/subcolumnar | Intact | NA | 
| 2 | 76 | NA | Yes | Endometrium/biopsy | Small, tightly packed | Present | Absent | Present | Absent | Absent | Absent | 1 | Positive/subcolumnar | Intact | NA | 
| 3 | 72 | None | Yes | Endometrium/biopsyHysterectomy (follow‐up) | Medium and tubular, tightly packed, occasionally fused | Present | Absent | Present | Moderate | Absent | Present | 3 | Negative | Lost | EMCA FIGO Grade 1 | 
| 4 | 58 | None | Yes | Endometrium/biopsy | Small, tightly packed | Present | Absent | Absent | Moderate | Absent | Absent | 0 | Positive/focal subcolumnar | Intact | NA | 
| 5 | 70 | None | Yes | Endometrium/biopsy and curettageHysterectomy (follow‐up) | Variable in size, tubular, tightly packed | Present | Absent | Present | Moderate | Absent | Present | 6 | Negative | Lost (focally intact) | EMCA FIGO Grade 1 | 
| 6 | 45 | None | No | Endometrium, Cervix/ biopsy and curettage | Small, tightly packed | Present | Absent | Present | Moderate | Present | Absent | 0 | Positive/subcolumnar | Intact | MGH | 
| 7 | 47 | OCP | No | Endometrium/biopsy | Small to medium, tightly packed | Absent | Absent | Absent | Absent | Absent | Present | 0 | Negative | NA | NA | 
| 8 | 66 | None | Yes | Endometrium/biopsy | Small, tightly packed | Present | Absent | Absent | Severe | Absent | Present | 2 | Positive (focal) | Intact | NA | 
| 9 | 66 | None | Yes | Endometrium/curettage | Small to medium, tightly packed | Present | Absent | Absent | Moderate | Absent | Present | 2 | Negative | Lost | NA | 
EMCA, endometrial endometrioid carcinoma; MGH, microglandular hyperplasia; PTEN, phosphatase and tensin homologue; NA, not available; OCP, oral contraceptive pill.