Ultrasonographic evidence of uterine malignancy in the postmenopausal uterus

The sonographically enlarged uterine cavity in the postmenopausal woman has been described as indicative of uterine malignancy. In this study, in 10 of 15 cases of proven uterine malignancy with prior pelvic sonographic studies there was evidence predicting the diagnosis. In 10 of 12 cases with positive sonographic findings, uterine malignancy was found at operation. This reveals a 67% rate of success as to the value of negative sonographic findings and an 83% rate of success with positive findings. Pelvic sonography is not a screening test for uterine malignancy, but if positive findings are present, surgical investigation is indicated.