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It is generally recognized that an endometrial thickness of 4-8 mm is considered a definite cutoff point for detection of endometrial malignancy by transvaginal sonography. We report on 2 patients with endometrial cancer and on 1 with endometrial hyperplasia, in each of whom endometrial thickness was &lt; 4 mm.

Vaginal Scan for Identifying Endometrial Abnormalities: Limitations in Clinical Management