Figure 3.
Post-menopausal female aged 58 years old presented with PMB. B-mode ultrasound image (A) showed thickened endometrium measuring 21mm with interrupted endometrial myometrial gray halo (arrow). On color Doppler (B), multiple vessels seen within the endometrium, some of them cross the myometrial–endometrialjunction (arrows). GIS image (C) showed an irregular endometrial focal lesion with irregular surface and interruption of the endometrial myometrial gray halo (arrow). (D) MRI axial T2WI showed an endometrial soft tissue lesion filling the uterine cavity, infiltrating the junctional zone with thinned out myometrium (infiltrate more than 50%, arrow), no parametrial infiltration. Operative and histopathological diagnosis was Stage IB endometriod adenocarcinoma, microscopic image (E). GIS, gel infusion sonography; PMB, post-menopausal bleeding; T2WI, T2 weighted imaging.
