Endometrial Glandular Dysplasia (EmGD) morphologically and biologically distinctive putative precursor lesions of Type II endometrial cancers.docVIP

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Endometrial Glandular Dysplasia (EmGD) morphologically and biologically distinctive putative precursor lesions of Type II endometrial cancers.doc

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Endometrial Glandular Dysplasia (EmGD) morphologically and biologically distinctive putative precursor lesions of Type II endometrial cancers

Diagnostic Pathology BioMedCentral Review Open Access Endometrial Glandular Dysplasia (EmGD): morphologically and biologically distinctive putative precursor lesions of Type II endometrial cancers Oluwole Fadare*1,2 and Wenxin Zheng3,4 Address: 1Department of Pathology, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, Texas, USA, 2Department of Pathology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA, 3Department of Pathology, Department of Obstetrics and Gynecology, and the Arizona Cancer Center, University of Arizona College of Medicine, Tucson, Arizona, USA and 4Department of Pathology and Hospital of Obstetrics and Gynecology, Shanghai Medical College, Fudan University, Shanghai, China Email: Oluwole Fadare* - oluwolefadare@; Wenxin Zheng - zhengw@ * Corresponding author Published: 8 February 2008 Received: 23 January 2008 Accepted: 8 February 2008 Diagnostic Pathology 2008, 3:6 doi:10.1186/1746-1596-3-6 This article is available from: /content/3/1/6 ? 2008 Fadare and Zheng; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract In this article, the authors briefly review the historical evolution of the various putative precursor lesions for Type II endometrial cancers, with an emphasis on the newly defined Endometrial Glandular Dysplasia (EmGD). The evidentiary basis for delineating serous EmGD as the most probable precursor lesions to endometrial serous carcinoma is reviewed in detail. An argument is advanced for the discontinuation of the term serous endometrial intraepithelial carcinoma (EIC) as a descriptor for a supposedly intraepithelial, precancerous lesion. Preliminary evidence is also presented that suggests that there is