Endometrial cancer ultrasound: Difference between revisions
No edit summary |
No edit summary |
||
| Line 6: | Line 6: | ||
==Transvaginal ultrasound== | ==Transvaginal ultrasound== | ||
General imaging guidelines<ref>{{Cite web | title =endometrial cancer ultrasound | url =http://radiopaedia.org/articles/endometrial-carcinoma | General imaging guidelines<ref>{{Cite web | title =endometrial cancer ultrasound | url =http://radiopaedia.org/articles/endometrial-carcinoma}}</ref> | ||
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 | ||
Revision as of 21:06, 9 September 2015
|
Endometrial cancer Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Endometrial cancer ultrasound On the Web |
|
American Roentgen Ray Society Images of Endometrial cancer ultrasound |
|
Risk calculators and risk factors for Endometrial cancer ultrasound |
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]
Overview
On transvaginal ultrasound, endometrial cancer is characterized by thickening of the endometrium and disruption of a subendometrial halo.
Transvaginal ultrasound
General imaging guidelines[1] 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.