Endometrial cancer ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]Roukoz A. Karam, M.D.[3]

Overview

On transvaginal ultrasound, endometrial cancer is characterized by thickening of the endometrium and disruption of a subendometrial halo.

Transvaginal ultrasound

  • Transvaginal ultrasound may be helpful in the diagnosis of endometrial cancer. Findings on an ultrasound suggestive of endometrial cancer include:[1]
    • Thickening of the endometrium
      • Premenopausal women have endometrial thickness that varies through the menstrual cycle
      • Postmenopausal women show increased thickness > 5mm
      • Thickness > 8mm is seen in postmenopausal women taking tamoxifen
  • Disruption of a subendometrial halo on ultrasound may be suggestive of myometrial involvement.

References

  1. Gupta A, Desai A, Bhatt S (2017). "Imaging of the Endometrium: Physiologic Changes and Diseases: Women's Imaging". Radiographics. 37 (7): 2206–2207. doi:10.1148/rg.2017170008. PMID 29131769.


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