Endometrial cancer ultrasound: Difference between revisions
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{{Endometrial cancer}} | {{Endometrial cancer}} | ||
==Transvaginal ultrasound== | ==Transvaginal ultrasound== | ||
General imaging guidelines | General imaging guidelines | ||
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* Sonographic features are non specific and endometrial thickening can also be due to benign proliferation, endometrial hyperplasia or polyps. | * 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. | * Disruption of a subendometrial halo on ultrasound may be suggestive of myometrial involvement. | ||
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Revision as of 20:18, 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.