Endometrial hyperplasia

Case contributed by Dr Maulik S Patel

Presentation

H/o 2 episodes of spotting per vaginum in post menopausal patient. USG for endometrial evaluation.

Patient Data

Age: 65 yrs
Gender: Female
Modality: Ultrasound

Endometrial thickness is 12 mm. Multiple cystic spaces are noted within. Solid areas are echogenic. Margins of endometrial lining was well-defined.

No significant flow signals seen.

Myometrium does not show focal lesion.

Either of ovaries could not be localized.

Case Discussion

In a symptomatic (with bleeding per vaginum) post menopausal patient, endometrial thickness more than 5 mm is an abnormal finding. However, a thickened endometrium is a non-specific finding and needs histopathology.

D & C - was done within few days.

D&C Histopathology – Focal cystic hyperplasia. No atypical hyperplasia or malignancy.

6 mths follow up was done and patient was asymptomatic till that time.

Endometrial thickness of 2 mm was noted.

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Case Information

rID: 30100
Case created: 19th Jul 2014
Last edited: 16th Dec 2015
System: Gynaecology
Inclusion in quiz mode: Included

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