Endometrial hyperplasia

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

History of two episodes of spotting per vaginum in post menopausal patient. USG for endometrial evaluation.

Patient Data

Age: 65 years
Gender: Female
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.

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.

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