“ Peaks in the fifth decade. Typically, it presents with postmenopausal bleeding. The vast majority are adenocarcinomas . It metastasises ...
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Peaks in the fifth decade. Typically, it presents with postmenopausal bleeding. The vast majority are adenocarcinomas. It metastasises to the lungs, bones, liver and brain.
US
• Transvaginal US is the mainstay initial examination; the endometrium is abnormal if >4 mm postmenopause, >8 mm postmenopause on hormone replacement theraphy (HRT) or >14 mm premenopause.
CT
• Useful for demonstrating lymph node involvement, peritoneal disease and metastases
• Optimal for local staging: the tumour is best demonstrated on T1 post-contrast, where it enhances poorly compared to adjacent myometrium.
• The cervical canal commonly becomes obstructed, filling the uterine cavity with debris.
NUCLEAR MEDICINE
• PET/CT is useful for demonstrating metastases and disease recurrence.
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