Endometrial polyp

Discussion:

Heterogeneously enhancing endometrial lesion without any evidence of myometrial invasion on CT and MRI and diffusely thickened endometrium with cystic changes on ultrasound in an asymptomatic postmenopausal woman. A few possible causes are endometrial hyperplasia (with cystic changes), endometrial carcinomaendometrial polyp and submucosal uterine leiomyoma

Regarding the age of the patient and above described imaging features, the patient underwent diagnostic hysteroscopy, dilatation and curettage. Histopathology showed benign endometrial polyp with focal atypical complex endometrial hyperplasia. Due to these biopsy features, later on the patient underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histopathology showed large endometrial polyp, with focal endometrial hyperplasia. No evidence of endometrial malignancy seen. Cervix and ovaries show no significant histological abnormality. 

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