H/o 2 episodes of spotting per vaginum in post menopausal patient. USG for endometrial evaluation.
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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.
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.
- Diagnostic ultrasound. Third edition. By Dr Carol M. Rumack MD and others Page 545