Transabdominal and transvaginal sonography of the uterus in this postmenopausal patient reveals: 1) Grossly thickened endometrium 2) fine cystic lesions within the endometrial mass 3) invasion of the myometrium by the mass 4) increased vascularity of the lesion on color doppler imaging. These ultrasound images suggest Stage 1B (FIGO) carcinoma of the endometrium. The patient underwent hysterectomy after histopathological study confirmed the presence of malignancy (adenocarcinoma).
Ultrasound images of malignant polyp of uterus.
The above ultrasound images show 1) apparently marked thickening of the endometrium (19mm.) on transabdominal sonography. 2) on transvaginal imaging, there is a large polyp like mass (14 x 22 mm.) occupying the uterine cavity. 3) color doppler imaging shows feeding vessels supplying the polyp. Histopathology confirmed endometrial carcinoma (adneocarcinoma).Images by Joe Antony, MD, Cochin, India.