FIGURE 13
From: Problems in the Differential Diagnosis of Endometrial Hyperplasia and Carcinoma

Higher-power view of surface syncytial change, in which the orientation of this curettage specimen makes it difficult to appreciate that the syncytial proliferation is on the surface. Note the lack of nuclear atypia in these cells, as well as a gland with ciliary change (tubal metaplasia), illustrating that different patterns of metaplastic and related changes often occur together.