CASE 81
History: A 40-year-old woman presents with vaginal bleeding.
1. What should be included in the differential diagnosis for the well-defined spherical soft tissue mass of the endometrial cavity in the patient with vaginal bleeding? (Choose all that apply.)
A. Retained products of conception
C. Polyp
D. Endometritis
2. What ultrasound procedure helps define endometrial contents with fluid?
C. Polypectomy
3. What ultrasound features distinguish an endometrial polyp from a submucosal fibroid?
A. A polyp is hyperechoic, whereas a submucosal fibroid is usually hypoechoic.
B. A vascular stalk is commonly seen in submucosal fibroids.
C. Cystic spaces of dilated glands are seen in many submucosal fibroids.
D. Endometrial polyps are generally larger than submucosal fibroids.
4. Which of the following statements is true?
A. A thickened endometrial stripe suggests a diagnosis of endometrial cancer.
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