Endometrial hyperplasia differential diagnosis: Difference between revisions
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*Endometrial carcinoma (variable appearance) | *Endometrial carcinoma (variable appearance) | ||
*Polycystic ovaries (usually uniformly hyperechoic and tends to be diffuse) | *Polycystic ovaries (usually uniformly hyperechoic and tends to be diffuse) | ||
*Endometrial polyp (usually hyperechoic, often focal, look for vascular stalk) | *Endometrial polyp or polyps (usually hyperechoic, often focal, look for vascular stalk) | ||
*Tamoxifen related endometrial changes (variable appearances) | *Tamoxifen related endometrial changes (variable appearances) | ||
*Hormone replacement therapy (HRT) in postmenopausal female | *Hormone replacement therapy (HRT) in postmenopausal female | ||
*Submucosal uterine fibroids | |||
*Intrauterine adhesions (irregular echogenic areas with focal thickening) | *Intrauterine adhesions (irregular echogenic areas with focal thickening) | ||
*Ovarian tumours associated with endometrial thickening | *Ovarian tumours associated with endometrial thickening | ||
**Endometrioid carcinoma of the ovary | **Endometrioid carcinoma of the ovary | ||
*Granulosa cell ovarian cancer | **Granulosa cell ovarian cancer | ||
==References== | ==References== | ||
Revision as of 16:20, 3 March 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]
Overview
Differential Diagnosis
- Endometrial hyperplasia must be differentiated from the following which have similar appearances on an ultrasound:[1]
- Early pregnancy prior to sac being visualized (<5 weeks of gestation)
- Ectopic pregnancy (thickened endometrium and sometimes fluid collection or pseudogestational sac can be associated)
- Retained products of conception (heterogeneously thickened endometrium with increased vascularity)
- Adherent intra-uterine blood clot (heterogeneous endometrium with no vascularity)
- Molar pregnancy thickened with multiple small cystic spaces
- Endometritis (prominent hyperechoic endometrium with of without fluid and debris)
- Endometrial carcinoma (variable appearance)
- Polycystic ovaries (usually uniformly hyperechoic and tends to be diffuse)
- Endometrial polyp or polyps (usually hyperechoic, often focal, look for vascular stalk)
- Tamoxifen related endometrial changes (variable appearances)
- Hormone replacement therapy (HRT) in postmenopausal female
- Submucosal uterine fibroids
- Intrauterine adhesions (irregular echogenic areas with focal thickening)
- Ovarian tumours associated with endometrial thickening
- Endometrioid carcinoma of the ovary
- Granulosa cell ovarian cancer
References
- ↑ Hulka CA, Hall DA, McCarthy K, Simeone JF (1994). "Endometrial polyps, hyperplasia, and carcinoma in postmenopausal women: differentiation with endovaginal sonography". Radiology. 191 (3): 755–8. doi:10.1148/radiology.191.3.8184058. PMID 8184058.