Evaluating Musculoskeletal Complications Among Individuals With Diabetes Mellitus

Dr. Simran Maheshwari; Dr. Subhan Quraishi; Dr. Babita Ghodke

Volume : III, Issue : VI, June - 2014

Evaluating Musculoskeletal Complications Among Individuals With Diabetes Mellitus

Dr. Simran Maheshwari, Dr. Subhan Quraishi, Dr. Babita Ghodke

Abstract :

Introduction: The World Health Organization (WHO) (1994) classification of endometrial hyperplasia is plagued by poor diagnostic reproducibility and suboptimal prognostic prediction. In 1998 Drs, Mutter and Baak provide newer data to diagnose endometrial hyperplasia. Aim: To reclassify endometrial hyperplsia into two oad categories, Endometrial intraepithelial hyperplasia (EIN) and benign hyperplasia (non-EIN) and compare this with WHO hyperplasia classification. Material and method: The present study consists of 201 cases of endometrial hyperplasia lesions.After processing all the endometrial material received was subjected to haematoxylin and eosin stain. All the lesions were classified by five independent observers using WHO (1994) classification and again reclassified by applying EIN criteria.Results: In the present study out of 201 cases of WHO classified endometrial hyperplasias 91 were reclassified as EIN lesion and rest 110 diagnosed as non-EIN lesion. Variance of WHO endometrial hyperplasia classification is16.3,10,16.3 and 50.5 for simple typical, complex typical, simple atypical and complex atypical hyperplasia respectively whereas variance for EIN is 1.299. Conclusion: EIN classification system has good reproducibility. It is valuable to reclassify WHO hyperplasia classification by EIN criteria as unnecessary hysterectomies, its surgical complications and high cost of treatment can be prevented by applying EIN criteria.