8mm Endometrial Thickness Postmenopausal Treatment
Endometrial thickness must be evaluated together with endometrial morphology as well as risk factors for malignancy when considering endometrial sampling. This seems inappropriate for the evaluation of a disease that most often presents with symptoms and does so while still at a curable stage.
It is not cancer but in some cases it can lead to cancer of the uterus.
8mm endometrial thickness postmenopausal treatment. If ovulation does not occur progesterone. This figure rose to 29 in women with an initial diagnosis of complex atypical hyperplasia. Endometrial carcinoma can be divided into two categories based on clinical features and pathogenesis.
Of those with an initial diagnosis of atypical hyperplasia simple or complex 23 progressed to endometrial carcinoma. Approximately 1 of every 8 post menopausal women who present with abnormal uterine bleeding aub will be diagnosed with endometrial cancer making this one of the most troubling symptoms clinicians encounter in gynecologic practice. Suggested upper limit of normal is 5 mm 5.
According to the radiological society of north america rsna the endometrium is at its thinnest during menstruation when it usually measures between 2 4 millimeters mm in thickness. If you re close to reaching menopause but still have occasional vaginal bleeding the average stripe is less than 5 mm thick. She had a carcinoma of breast and was operated earlier.
Vaginal bleeding and not on tamoxifen. The thickness of the endometrium stabilizes after you reach menopause. Endometrial hyperplasia occurs when the endometrium the lining of the uterus becomes too thick.
Confirmation may be done using endometrial biopsy. This was a 53 year old post menopausal lady who was evaluated for intermittent leucorrhoea. It has been suggested that the normal endometrial thickness in a post menopausal woman is 5 mm.
Endometrium thickening may cause bleeding after menopause but even without bleeding the possibility of endometrial cancer cannot be ruled out. The postmenopausal endometrial thickness is typically less than 5 mm in a postmenopausal woman but different thickness cut offs for further evaluation have been suggested. Endometrial hyperplasia most often is caused by excess estrogen without progesterone.
If endometrial thickness is greater than 4 mm sonohysterography should be performed. She was on t tamoxifen for the past 3 years the endometrial thickness was between 5 75. Furthermore if an 8 mm thickness were considered abnormal in postmenopausal women without vaginal bleeding it would lead to biopsies in nearly 1 of normal postmenopausal women.
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