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Though may appear as a polypoid mass. viagraforsalegenerictabletsonline.accountant Sonographic features are non specific and endometrial thickening can also be due to benign proliferation, endometrial hyperplasia or polyps. cheap viagra online â the cut off value for an acceptable endometrial thickness in a symptomatic, post menopausal woman who is not on tamoxifen, isâ 5â mm. generic viagra online buy cheap pills Disruption of aâ sub endometrial haloâ on ultrasound can be suggestive of myometrial involvement. how to get generic viagra Ct ct has a role in assessing for distant metastases. viagra for sale no prescription Although not generally used for initial diagnosis or local staging, endometrial carcinoma may be encountered on ct: non contrast ctâ : difficult to differentiate from normal uterus (especially in local disease) post contrast ctâ : may show diffuse thickening or mass within endometrial cavity pelvic mri a dedicated pelvic mri protocol is recommended for optimal assessment. how to get generic viagra Mri is considered superior to ct for local staging 1,6. Contrast enhanced mri imaging improves accuracy in detecting myometrial invasion. generic viagra new zealand â mri imaging findings t1 :â hypo to iso-intense to normal endometrium t1 c + (gd) :â carcinomatous tissue will enhance less than normal endometrium t2 :â hyper-intense or heterogeneous relative to normal endometriumâ mr imaging findings according to figo stage stage 1 : tumour confined to uterusâ stage 1a : tumour confined to the uterine endometrium normal or widened endometrium normal low t2 signal junctional zone complete subendometrial enhancement on t1 contrast imaging stage 1b : invasion of less than half of the myometrium disruption or irregularity of the low t2 signal junctional zone disruption of subendometrial early enhancement stage 1c : invasion of outer half of myometrium disruption or irregularity of the low t2 signal junctional zone disruption of subendometrial early enhancement preservation of band of outer myometrium stage 2 : tumour extends to cervix stage 2a :â widening of internal os and endocervical canal by high/iso intense t2w signal tumour mass. buy generic viagra online from india Intact low t2w signal of normal cervical stroma stage 2b widening of internal os and endocervical canal by high/iso intense t2w signal tumour mass disruption of low t2 signal cervical stroma stage 3 : tumour extension beyond the uterus stage 3a :â irregularity to the uterine contour disruption of low t2 signal uterine serosa stage 3b :â thickening of vaginal wall high t2 signal tumour infiltrating low signal vaginal wall stage 3c : pelvic / para aortic lymph node involvement short axis > / = 8mm in pelvic nodes stage 4 : bladder/ rectal or distant metastasis stage 4aâ : disruption of low t2 signal bladder or rectal wall intraluminal bladder mass treatment and prognosis prognosis depends on various factors including stage : depth of myometrial invasion, lymphovascular invasion, nodal status and histological gra. how to get generic viagra buy viagra