Endometrial hyperplasia ultrasound
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]
Overview
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.[1]
- 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 carcinoma.
- On pelvic ultrasound, endometrial hyperplasia is characterized by:
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
References
- ↑ 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.