Presentation
History of two episodes of spotting per vaginum in post menopausal patient. USG for endometrial evaluation.
Patient Data
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.
Dilation and curettage was done within few days.
The histopathological examination demonstrates focal cystic hyperplasia with no atypical hyperplasia or malignancy.
6 months follow-up was done and patient was asymptomatic till that time.
Endometrial thickness of 2 mm was noted.