This post menopausal patient presented with bleeding P/V with discharge per vagina. Ultrasound imaging of the uterus shows a markedly thickened endometrium at 24 mm. There is marked inhomogeneity of the endometrium with a suggestion of endometrial polyp like mass within the endometrial cavity. Medical literature suggests that any endometrial thickness of more than 10 mm. in a post menopausal woman is typical of endometrial hyperplasia. The greater the thickness of the endometrium, the higher are the chances of endometrial carcinoma. Thus this patient shows typical changes of endometrial hyperplasia with a high likelihood of malignancy. The 3D-ultrasound image on bottom row- Right, shows the full extent of the endometrial hyperplasia. Endometrial thickness of less than 6 mm. almost certainly excludes hyerplasia of the endometrium. A close differential diagnosis in this case is endometrial polyp. However, no feeder vessel is seen on color Doppler imaging.
Posted on: Sat, 24 Jan 2015 23:09:29 +0000
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