[A case of early detection of uterine cancer in a program of genital screening of postmenopausal patients by transvaginal ultrasonic scanning].

Transvaginal ultrasound scanning was performed on 59 years old women with postmenopausal bleeding in anamnesis. Endometrial thickness was measured at its maximum in both longitudinal and transverse sections of the uterus. Also the thickness of uterus walls and ovaries in 3 planes were measured. Endometrium was irregular of 14 mm thickness. The patient had dilatation and curettage. Histology showed: adenocarcinoma I degree, and endometrial polyp. After hysterectomy the sonographic evaluation was compared with postoperative histologic measurements. Vaginal sonography is a good method of screening for uterine neoplasms in presymptomatic women. In postmenopausal patients who are not receiving hormonal replacement an endometrium of greater than 5 mm should be considered abnormal and undergo curettage and histological examination.