March 11, 2016

• 62 year old postmenopausal woman presented with 1 episode of postmenopausal bleeding. She had a history of modified radical mastectomy for carcinoma breast 3 years back and was on hormonal therapy.
• On examination her uterus was normal is size, mobile and non tender.
• Her ultrasound revealed normal atrophic endometrium.
• Diagnostic and operative hysteroscopy was done for her. Which showed and endometrial polyp of 1cm x 1 cm attached to the anterior, right lateral and posterior uterine wall. Rest of the endometrium was atrophic. The polyp was removed at the same time.
• This case highlights the importance of hysteroscopy directed biopsy as the gold standard for diagnosis in such cases.
• It has high diagnostic accuracy.
• Adding to the benefits both diagnosis and operative procedure can be done at the same time.
• In this patient if a blind curettage would have been done than this diagnosis would have been surely missed.