FIGURE 5
From: Problems in the Differential Diagnosis of Endometrial Hyperplasia and Carcinoma

Curettage specimen from a perimenopausal patient with abnormal bleeding. Stroma is largely hemorrhagic and necrotic, leading to close approximation of endometrial glandular epithelium, simulating a hyperplasia or carcinoma. This specimen is probably from an anovulatory cycle and is thus lacking in secretory changes, further complicating the correct interpretation of this specimen as totally benign.