CASE 368: METRORRHAGIA, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Women 52 yo  post menopause  2 years, vaginal bleeding.

US1:  cross- section  of uterus, normal size uterus   with  thicknening  endometrium ( more than 2cm).

US2:  CDI  no abnormal  uterine vascular supply.

US 3:thickening endometrium and cystic mass at cervix.

MRI  with gado.

MRI1= uterine cavity is  large  and thickening  endometrium,  some filling defected at fundus of uterus.

MRI2=longitudinal scan showed  the  abnormal endometrium  penetrated to uterus muscle.

Based on  clinical status , ultrasound and MRI, ObGy doctor suggested that  endometrium carcinoma.
OPERATION of  HYSTERECTOMYand  OMENTECTOMY (SEE MACRO).

Macroscopic report  of  this tumor is endometrium adeno carcinoma  invasive to myometrium..