Endometrial polyp with feeding vessel

Discussion:

A well circumscribed echogenic endometrial thickening with a central feeding vessel in a stalk is highly suggestive of an endometrial polyp.  However, the central feeding vessel is not pathognomonic as it can occasionally be seen with atypical fibroids or endometrial carcinoma.

Differential Diagnosis:

  • submucosal fibroid
  • endometrial hyperplasia
  • endometrial cancer
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