Figure 2.
Female aged 52 years old presented with PMB. TVUS B-mode image (A) showed thickened endometrium measuring 18 mm with interrupted endometrial–myometrial junction (arrow). On color Doppler (B), multiple vessels seen within the endometrium, some of them cross the myometrial–endometrial junction. GIS image (C) showed an irregular endometrial focal lesion (star) with irregular surface and interruption of the endometrial myometrial gray halo (arrow). (D, E) MRI axial andcoronal T2WI showed an endometrial soft tissue lesion involving the entire endometrial cavity with infiltration of the junctional zone and entire myometrium reaching to the serosa (arrow), infiltrating the cervical stroma, no parametrial infiltration. Operative and histopathological diagnosis was Stage II endometriodadenocarcinoma. GIS, gel infusion sonography; PMB, post-menopausal bleeding; T2WI, T2 weighted imaging.
