Endometrial cancer ultrasound: Difference between revisions
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General imaging guidelines | General imaging guidelines | ||
Transvaginal ultrasound is the initial imaging investigation of choice for patients presenting with the usual symptom of a postmenopausal bleed. A thickened endometrium requires endometrial sampling. | Transvaginal ultrasound is the initial imaging investigation of choice for patients presenting with the usual symptom of a postmenopausal bleed. A thickened endometrium requires endometrial sampling. | ||
Transvaginal ultrasound | Transvaginal ultrasound | ||
* Endometrial carcinoma usually appears as thickening of the endometrium though may appear as a polypoid mass | |||
Endometrial carcinoma usually appears as thickening of the endometrium though may appear as a polypoid mass | * premenopausal: normal endometrial thickness varies through the menstrual cycle | ||
* diagnosing abnormally thickened endometrium depends on knowing what the patient's point in the menstrual cycle | |||
premenopausal: normal endometrial thickness varies through the menstrual cycle | * postmenopausal: >5 mm is thickened (if not on Tamoxifen) | ||
diagnosing abnormally thickened endometrium depends on knowing what the patient's point in the menstrual cycle | * Sonographic features are non specific and endometrial thickening can also be due to benign proliferation, endometrial hyperplasia or polyps. | ||
* Disruption of a subendometrial halo on ultrasound may be suggestive of myometrial involvement. | |||
postmenopausal: >5 mm is thickened (if not on Tamoxifen) | |||
Sonographic features are non specific and endometrial thickening can also be due to benign proliferation, endometrial hyperplasia or polyps. | |||
Disruption of a subendometrial halo on ultrasound may be suggestive of myometrial involvement. |
Revision as of 20:14, 31 August 2015
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Transvaginal ultrasound
General imaging guidelines Transvaginal ultrasound is the initial imaging investigation of choice for patients presenting with the usual symptom of a postmenopausal bleed. A thickened endometrium requires endometrial sampling.
Transvaginal ultrasound
- Endometrial carcinoma usually appears as thickening of the endometrium though may appear as a polypoid mass
- premenopausal: normal endometrial thickness varies through the menstrual cycle
- diagnosing abnormally thickened endometrium depends on knowing what the patient's point in the menstrual cycle
- postmenopausal: >5 mm is thickened (if not on Tamoxifen)
- Sonographic features are non specific and endometrial thickening can also be due to benign proliferation, endometrial hyperplasia or polyps.
- Disruption of a subendometrial halo on ultrasound may be suggestive of myometrial involvement.