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Chapter 6 - Sonographic Assessment of Endometrial Pathology

Published online by Cambridge University Press:  28 February 2020

Kanna Jayaprakasan ,
Lukasz Polanski  and
Kamal Ojha
By
Thierry Van den Bosch
Kanna Jayaprakasan
Affiliation:
Department of Maternity and Gynaecology, Royal Derby Hospital, Derby
Lukasz Polanski
Affiliation:
Assisted Conception Unit, Guy’s Hospital, London
Kamal Ojha
Affiliation:
Department of Obstetrics and Gynecology, St George's University Hospital, London
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Summary

Endometrial pathology includes hyperplasia, polyps, cancer and infection. Intracavitary fibroids are sensu stricto not endometrial lesions, but should be included in the differential diagnosis.

Although intracavitary pathology may be found incidentally while scanning for an unrelated reason, most patients will be diagnosed during the evaluation of abnormal uterine bleeding. Ultrasound examination is the test of choice to triage patients for further management. If a thin and regular endometrium is seen after menopause, endometrial atrophy is the most likely diagnosis, while the risk for malignancy is very low(Figure 6.1).

Type
Chapter
Information
Gynaecological Ultrasound Scanning
Tips and Tricks
 , pp. 79 - 86
Publisher: Cambridge University Press
Print publication year: 2020

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References

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