Fig. 3
From: Diagnostic efficacy of gel infusion sonography in post-menopausal bleeding
Post-menopausal female aged 66 years old, presented with PMB. Sonohysterography image (a) showed an irregular endometrial focal mass lesion with disruption of the endometrial myometrial interface (arrow) which was considered suspicious of malignancy be both observers. Sagittal T2WI (b) and axial T2 WI (c) showed an irregular sessile lesion occupying most of the endometrial cavity extending into the internal cervical OS and infiltrating the junctional zone in the right lateral uterine wall with thinned out myometrium and myometrial infiltration more than 50% (arrow), no parametrial infiltration. DWI at b 1000 s/mm2 (d) lesion showed high signal intensity. ADC map (e) ADC value measures about ± 0.545 × 10-3 mm2/s. Hysterectomy specimen (f). Operative and histopathological diagnosis was stage IB endometrioid adenocarcinoma