Endometrial hyperplasia ultrasound: Difference between revisions

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Latest revision as of 05:09, 9 May 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Swathi Venkatesan, M.B.B.S.[2]

Overview

Pelvic ultrasound on days 5 to 10 of menstrual cycle reduce the variability in endometrial thickness and may be helpful in the diagnosis of endometrial hyperplasia. On pelvic ultrasound, endometrial hyperplasia is characterized by a homogeneous increase in the endometrial thickness in the majority of patients. However, endometrial hyperplasia may also cause asymmetric or focal thickening with surface irregularity which should raise a suspicion for malignancy.^[1]

Ultrasound

Pelvic ultrasound on days 5 to 10 of menstrual cycle reduce the variability in endometrial thickness and may be helpful in the diagnosis of endometrial hyperplasia.
The ultrasound appearance can be non-specific and may not be reliable to differentiate between hyperplasia and carcinoma.^[2]
The pelvic ultrasound shows a homogeneous increase in the endometrial thickness. However, endometrial hyperplasia may also cause asymmetric or focal thickening with surface irregularity which should raise a suspicion for malignancy.^[1]
On pelvic ultrasound, endometrial hyperplasia is characterized by:^[1]

Premenopausal

An endometrial thickness of >15 mm is considered above normal during the secretory phase of menstrual cycle

Postmenopausal

An endometrial thickness of >5 mm is considered abnormal

Tamoxifen associated endometrial changes

On pelvic ultrasound, tamoxifen induced endometrial hyperplasia is characterized by thickened, irregular, and cystic endometrium.
Changes tend to be subendometrial in location and may cause subendometrial cysts.^[3]
The degree of endometrial thickening corresponds to the duration of tamoxifen therapy.^[3]

Gallery

Endometrial hyperplasia^[4]
Endometrial hyperplasia^[4]
Endometrial hyperplasia^[4]
Endometrial hyperplasia^[4]

References

↑ ^1.0 ^1.1 ^1.2 Endometrial hyperplasia. Radiopedia. http://radiopaedia.org/articles/endometrial-hyperplasia-1 Accessed on March 10, 2016.
↑ Jorizzo JR, Chen MY, Martin D, Dyer RB, Weber TM (2002). "Spectrum of endometrial hyperplasia and its mimics on saline hysterosonography". AJR Am J Roentgenol. 179 (2): 385–9. doi:10.2214/ajr.179.2.1790385. PMID 12130438.
↑ ^3.0 ^3.1 Tamoxifen associated endometrial changes. Radiopedia. http://radiopaedia.org/articles/tamoxifen-associated-endometrial-changes Accessed on March 15, 2016.
↑ ^4.0 ^4.1 ^4.2 ^4.3 Image courtesy of Dr Maulik S Patel. Radiopaedia (original file ‘’here’’). Creative Commons BY-SA-NC

Template:WikiDoc Sources

[qw-1] 1.0 ^1.1 ^1.2 Endometrial hyperplasia. Radiopedia. http://radiopaedia.org/articles/endometrial-hyperplasia-1 Accessed on March 10, 2016.

[pmid12130438-2] Jorizzo JR, Chen MY, Martin D, Dyer RB, Weber TM (2002). "Spectrum of endometrial hyperplasia and its mimics on saline hysterosonography". AJR Am J Roentgenol. 179 (2): 385–9. doi:10.2214/ajr.179.2.1790385. PMID 12130438.

[nb-3] 3.0 ^3.1 Tamoxifen associated endometrial changes. Radiopedia. http://radiopaedia.org/articles/tamoxifen-associated-endometrial-changes Accessed on March 15, 2016.

[qs-4] 4.0 ^4.1 ^4.2 ^4.3 Image courtesy of Dr Maulik S Patel. Radiopaedia (original file ‘’here’’). Creative Commons BY-SA-NC

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[2]

[3]

[4]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Endometrial hyperplasia}}
-{{CMG}}{{AE}} {{STM}}
+{{CMG}}{{AE}} {{Swathi}}
 ==Overview==
-Pelvic ultrasound on days 5 to 10 of [[menstrual cycle]] reduce the variability in endometrial thickness and may be helpful in the diagnosis of endometrial hyperplasia. On pelvic [[ultrasound]], endometrial hyperplasia is characterized by a homogeneous increase in the endometrial thickness in the majority of patients. However, endometrial hyperplasia may also cause asymmetric or focal thickening with surface irregularity which should raise a suspicion for [[malignancy]].<ref name=qw>Endometrial hyperplasia. Radiopedia. http://radiopaedia.org/articles/endometrial-hyperplasia-1 Accessed on March 10, 2016.</ref>
+[[Pelvic ultrasound]] on days 5 to 10 of [[menstrual cycle]] reduce the variability in [[endometrial]] thickness and may be helpful in the [[diagnosis]] of [[endometrial hyperplasia]]. On [[pelvic]] [[ultrasound]], [[endometrial hyperplasia]] is characterized by a [[homogeneous]] increase in the [[endometrial]] thickness in the majority of [[patients]]. However, [[endometrial hyperplasia]] may also cause asymmetric or focal thickening with [[Surface anatomy|surface]] irregularity which should raise a suspicion for [[malignancy]].<ref name="qw">Endometrial hyperplasia. Radiopedia. http://radiopaedia.org/articles/endometrial-hyperplasia-1 Accessed on March 10, 2016.</ref>
 ==Ultrasound==
-*Pelvic [[ultrasound]] on days 5 to 10 of [[menstrual cycle]] reduce the variability in endometrial thickness and may be helpful in the diagnosis of endometrial hyperplasia.
+*[[Pelvic]] [[ultrasound]] on days 5 to 10 of [[menstrual cycle]] reduce the variability in [[endometrial]] thickness and may be helpful in the [[diagnosis]] of [[endometrial hyperplasia]].
-*The [[ultrasound]] appearance can be non-specific and may not be reliable to differentiate between hyperplasia and [[carcinoma]].<ref name="pmid12130438">{{cite journal| author=Jorizzo JR, Chen MY, Martin D, Dyer RB, Weber TM| title=Spectrum of endometrial hyperplasia and its mimics on saline hysterosonography. | journal=AJR Am J Roentgenol | year= 2002 | volume= 179 | issue= 2 | pages= 385-9 | pmid=12130438 | doi=10.2214/ajr.179.2.1790385 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12130438  }} </ref>
+*The [[ultrasound]] [[appearance]] can be non-specific and may not be reliable to [[differentiate]] between [[hyperplasia]] and [[carcinoma]].<ref name="pmid12130438">{{cite journal| author=Jorizzo JR, Chen MY, Martin D, Dyer RB, Weber TM| title=Spectrum of endometrial hyperplasia and its mimics on saline hysterosonography. | journal=AJR Am J Roentgenol | year= 2002 | volume= 179 | issue= 2 | pages= 385-9 | pmid=12130438 | doi=10.2214/ajr.179.2.1790385 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12130438  }} </ref>
-*The pelvic [[ultrasound]] shows a homogeneous increase in the endometrial thickness. However, endometrial hyperplasia may also cause asymmetric or focal thickening with surface irregularity which should raise a suspicion for [[malignancy]].<ref name=qw>Endometrial hyperplasia. Radiopedia. http://radiopaedia.org/articles/endometrial-hyperplasia-1 Accessed on March 10, 2016.</ref>
+*The [[pelvic]] [[ultrasound]] shows a [[homogeneous]] increase in the [[endometrial]] thickness. However, [[endometrial hyperplasia]] may also cause asymmetric or focal thickening with [[Surface area|surface]] irregularity which should raise a suspicion for [[malignancy]].<ref name="qw">Endometrial hyperplasia. Radiopedia. http://radiopaedia.org/articles/endometrial-hyperplasia-1 Accessed on March 10, 2016.</ref>
-*On pelvic [[ultrasound]], endometrial hyperplasia is characterized by:<ref name=qw>Endometrial hyperplasia. Radiopedia. http://radiopaedia.org/articles/endometrial-hyperplasia-1 Accessed on March 10, 2016.</ref>
+*On [[pelvic]] [[ultrasound]], [[endometrial hyperplasia]] is characterized by:<ref name="qw">Endometrial hyperplasia. Radiopedia. http://radiopaedia.org/articles/endometrial-hyperplasia-1 Accessed on March 10, 2016.</ref>
 '''[[Premenopausal]]'''
 *An endometrial thickness of >15 mm is considered above normal during the [[secretory phase]] of [[menstrual cycle]]
@@ Line 18: / Line 18: @@
 ===Tamoxifen associated endometrial changes===
 *On pelvic [[ultrasound]], [[tamoxifen]] induced endometrial hyperplasia is characterized by thickened, irregular, and cystic [[endometrium]].
-*Changes tend to be subendometrial in location and may cause subendometrial [[cyst]]s.<ref name=nb>Tamoxifen associated endometrial changes. Radiopedia. http://radiopaedia.org/articles/tamoxifen-associated-endometrial-changes Accessed on March 15, 2016.</ref>
+*Changes tend to be subendometrial in location and may cause subendometrial [[cyst]]s.<ref name="nb">Tamoxifen associated endometrial changes. Radiopedia. http://radiopaedia.org/articles/tamoxifen-associated-endometrial-changes Accessed on March 15, 2016.</ref>
-*The degree of endometrial thickening corresponds to the duration of [[tamoxifen]] therapy.<ref name=nb>Tamoxifen associated endometrial changes. Radiopedia. http://radiopaedia.org/articles/tamoxifen-associated-endometrial-changes Accessed on March 15, 2016.</ref>
+*The degree of endometrial thickening corresponds to the duration of [[tamoxifen]] therapy.<ref name="nb">Tamoxifen associated endometrial changes. Radiopedia. http://radiopaedia.org/articles/tamoxifen-associated-endometrial-changes Accessed on March 15, 2016.</ref>
 ==Gallery==
-<Gallery>
+<gallery>
 Image:Endometrial-hyperplasia.jpg|Endometrial hyperplasia<ref name=qs>Image courtesy of  Dr Maulik S Patel. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/cases/endometrial-hyperplasia ‘’here’’]). [http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref>