As the incidence of obesity rises, the number of women being diagnosed with endometrial cancer is also increasing. Similarly, the precancerous state, complex atypical hyperplasia, is also on the rise, and the number of younger patients being diagnosed with complex atypical hyperplasia is increasing.
Alongside this, is a population delaying child bearing to a later age, and as result, the management of complex hyperplasia with atypia must involve more than hysterectomy.
This presentation will involve discussion regarding the conservative management of complex atypical hyperplasia, and explanation of the term Endometrial Intraepithelial Neoplasia (EIN), pathologically felt to be the more appropriate nomenclature for the precursor to endometrial carcinoma.