ENDOMETRIAL HYPERPLASIA MIMICKING AS AGGRESSIVE ENDOMETRIAL CARCINOMA ON IMAGING: ROLE OF DIFFUSION WEIGHTED MRI

Abstract

This case report describes a 46 year old premenopausal female presenting with heavy vaginal bleeding .Ultrasound showed irregularly thickened endometrium and MRI showed thickened endometrium with indistinct margins and extension into the myometrium without significant contrast enhancement.DWI did not show a bright endometrium and no signal dropout on ADC, suggestive of benign aetiology. Histopathology revealed endometrial hyperplasia as final diagnosis. The unusual imaging appearance of this lesion and role of DWI in its differential diagnosis are discussed.