Ultrasound and color doppler features of transitional cell carcinoma of the endometrium with pathological correlation

Endometrial carcinoma is the second most common cancer of the female genital tract after cervical cancer which is still the leading cause of morbidity and mortality in developing countries. The endometrium of the uterus is usually thickened and the mass of the tissue is what forms the tumor growth. Diagnosis of endometrial malignancy involves invasive techniques which include endometrial biopsy as the standard diagnostic tool, although an initial ultrasound examination is one of the first modalities of investigations performed. We present an interesting case of transitional cell carcinoma of the endometrium in a 62-year-old postmenopausal female who presented with abnormal uterine bleeding. Grayscale ultrasound and color Doppler imaging is discussed.