Our study aimed to the various histopathological aspects of the endometrial epithelial metaplasia and the endometrial lesions which appear more frequently associated to these changes. Being considered as isolated, endometrial epithelial metaplasia has no prognostic relevance. It is important that the histopathologist recognize it, because its association to some benign lesions (especially to the endometrial glandular hyperplasia) may generate confusion with carcinoma.