26th April 2024

A 55-year-old woman presents with a 4-month history of irregular, heavy menstrual bleeding and intermittent pelvic pain.

A 55-year-old woman presents with a 4-month history of irregular, heavy menstrual bleeding and intermittent pelvic pain. She has a history of type 2 diabetes and obesity. On examination, the uterus is enlarged and tender to palpation.

Investigations:

Haemoglobin: 102 g/L (120–160)

White cell count: 8.3 × 10^9/L (4.0–11.0)

Platelets: 300 × 10^9/L (150–400)

Transvaginal ultrasound: Thickened endometrial lining

Which is the most likely diagnosis?