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Uterus (Endometrium (Endometriosis (most common site is ovary (chocolate…

- - - - weak pro-estrogen effects on endometrium
  - - - chocolate cyst
    - - pain with defecation
    - - pain with urination
    - - scarring increases risk for ectopic pregnancy, implants appear as gun powder nodules
  - - - simple hyperplasia with atypia often progresses to carcinoma
      - complex hyperplasia without atypia rarely progresses
  - - - hyperplastic path
        
        arises from endometrial hyperplasia
        
        estrogen exposure
        
        early menarche/late menopause
        
        histology is endometroid
      - sporadic path
        
        histology is serous and characterized by papillary structures with psammoma body formation
      - POST MENOPAUSAL BLEEDING
  - - - proliferative glands break down and shed, resulting in uterine bleeding