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Life Science Dictionary

Hyperplasia

Pathology · Physiology

Say it: hy-pur-PLAY-zhuh

Hyperplasia is the enlargement of a tissue or organ through a rise in its number of cells, which still look normal under the microscope.

Definition

What is hyperplasia?

Hyperplasia is the growth of a tissue or organ through an increase in the number of its cells, produced by cell division in response to a stimulus such as a hormone or growth factor. The extra cells look normal under the microscope, and unlike a tumor, the growth stays under the body's control and usually stops when the stimulus is withdrawn. It can happen only in tissues whose cells are able to divide, which is why heart muscle enlarges by hypertrophy instead.

Physiological hyperplasia is part of normal life. Hormones make breast glandular tissue multiply at puberty and in pregnancy and the uterine lining thicken in each menstrual cycle, and when part of the liver is removed, the remaining cells divide until much of the lost mass is restored. Pathological hyperplasia usually reflects excess hormonal or growth-factor stimulation. Benign prostatic hyperplasia, a very common enlargement of the prostate in older men linked to age-related hormone changes, can squeeze the urethra and make it hard to empty the bladder. Excess estrogen causes endometrial hyperplasia and abnormal uterine bleeding.

Hyperplasia is not cancer, but repeated cell division gives more opportunities for mutations, so some forms, such as atypical hyperplasia of the endometrium or breast, raise the risk of cancer and are watched or treated.

Word parts

Where does the word “hyperplasia” come from?

hyper-
over, excessiveGreek hyper
-plasia
formation, moldingGreek plasis, from plassein, to mold

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