Figure-28-12a. Concurrentlesions: a 90-year-old woman with endometrial cancer and ovarian cancer. transabdominal viewof the uterus demonstrates ill-definition ofthe endometrium with invasion ofthe endometrium into the Figure-28-12b A 6-cm left adnexal cystwith multiple septations and solid nodules from ovarian cancer. Concurrentlesions: granulosa cell tumor with endometrialhyperplasia. Thickened endometrium(15 mm) with a small cyst. Fiqure-28-13b he histologictype was endometrial hyperplasia, pro bably secondary to the estrogenic effect of the granulosa celltumor (Levine D. Sonography of the postmenopausal pelvis. In: Anderson J, ed Gynaecologicalimaging. London, Churchill Livingstone [in press)) SONOGRAPHIC ABNORMALITIES OF THE PELVIS Abnormal Uterus Uterine Enlargement Causes of uterine enlargement are listed in(Table 28-10). These indude fibro ids, pregna ncy and pregnancy-related conditions, uterine sarcoma, endometrialFigure - 28-12a. Concurrent lesions: a 90-year-old woman with endometrial cancer and ovarian cancer. transabdominal view of the uterus demonstrates ill-definition of the endometrium with invasion of the endometrium into the myometrium. Figure - 28-12b. A 6-cm left adnexal cyst with multiple septations and solid nodules from ovarian cancer. Figure - 28-13a. Concurrent lesions: granulosa cell tumor with endometrial hyperplasia. Thickened endometrium (15 mm) with a small cyst. Figure - 28-13b. The histologic type was endometrial hyperplasia, probably secondary to the estrogenic effect of the granulosa cell tumor. (Levine D. Sonography of the postmenopausal pelvis. In: Anderson J, ed. Gynaecological imaging. London, Churchill Livingstone [in press]) SONOGRAPHIC ABNORMALITIES OF THE PELVIS Abnormal Uterus Uterine Enlargement Causes of uterine enlargement are listed in (Table 28-10). These include fibroids, pregnancy and pregnancy-related conditions, uterine sarcoma, endometrial