Endometrial cancer is the most common gynecological malignancy. The traditional sonographic screening technique has been the measurement of the endometrial thickness. There is disagreement, however, as to what constitutes a normal sonographic measurement of the endometrium in postmenopausal women. This case study demonstrates the importance of examining the entirety of the endometrium and surrounding myometrium using sensitive transvaginal color/power Doppler. Color and/or power Doppler in conjunction with the transvaginal examination will increase the sensitivity of diagnosing endometrial pathology.
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