What are the manifestations of endometrial cancer on vaginal ultrasound? These five types need attention

Vaginal ultrasound is a particularly convenient, non-invasive and clear imaging method. For example, if a patient with endometrial cancer undergoes a vaginal ultrasound examination, it will reveal thickening of the endometrium, vegetation in the uterine cavity, heterogeneous echoes in the uterine cavity and myometrium, abundant blood flow signals, and enlarged uterus, which can provide a basis for preliminary screening of the disease.

Vaginal color ultrasound is a method of inserting a B-ultrasound probe deep into the vagina to examine the uterine cavity. Regular vaginal color ultrasound examinations can detect abnormalities when endometrial cancer is still in the early stages of the disease, and then a pathological biopsy can basically confirm the disease. So, what are the vaginal ultrasound manifestations of endometrial cancer?
1. Vaginal Ultrasound Manifestations of Endometrial Cancer
1. Endometrial thickening <br/>When the local endometrium of the uterus proliferates abnormally, it will induce endometrial cancer. When performing vaginal color Doppler ultrasound examination, the thickness of the endometrium can be clearly determined, so when this examination is performed in the early stages of the disease, it will be found that the endometrium is significantly thickened.
2. There are vegetations in the uterine cavity <br/>When the endometrium becomes cancerous, vegetations will appear. Such vegetations can be clearly seen through vaginal color Doppler ultrasound examination. However, vaginal color Doppler ultrasound cannot determine the nature of the vegetation, and pathological examination is required to confirm whether endometrial cancer has occurred.
3. Inhomogeneous echoes <br/>Generally, when endometrial cancer occurs, there will be inhomogeneous echoes in the early uterine cavity. As the disease progresses, there will also be inhomogeneous echoes in the myometrium. A vaginal color Doppler ultrasound examination can clearly capture this abnormal manifestation.
4. Rich blood flow signals <br/>When performing vaginal ultrasound examination, you can understand the blood flow signals in the uterine cavity. After suffering from endometrial cancer, the blood flow signals are particularly rich. Vaginal ultrasound examination can detect this abnormality and provide a certain basis for the diagnosis of endometrial cancer.
5. Enlarged uterus <br/>Vaginal color Doppler ultrasound can also determine the size of the uterus. When vegetation, congestion and edema of tissue mucosa appear in the uterine cavity, the uterus will be significantly enlarged, and this symptom can also be seen in vaginal Doppler ultrasound.
Advantages and disadvantages of vaginal ultrasound for endometrial cancer
1. Advantages <br/>This type of examination has particularly clear images, especially for obese women, which has more obvious advantages than abdominal ultrasound examination. During the examination, the B-ultrasound probe is inserted deep into the vagina, which is particularly convenient, non-traumatic to the patient, and inexpensive, and can be used for preliminary screening of endometrial cancer.
2. Disadvantages : Although vaginal color Doppler ultrasound can detect lesions in the uterine cavity, it can only provide a basis for the diagnosis of endometrial cancer and cannot confirm the disease. To confirm the diagnosis, a diagnostic curettage and pathological examination are required.