Patient Management and Screening
The workup for patients with symptoms of or suspected uterine cancer—
For women older than age 35 with irregular or heavy bleeding, consider—
- Medical history (for example, symptoms of thyroid disease, bleeding diathesis).
- Pregnancy test.
- TVU or other imaging.
- Uterine biopsy or dilation and curettage (D&C).
- Pelvic exam.
- Pap test (risk of cervical lesion).
If you suspect uterine cancer or uterine sampling confirms cancer, refer the patient to or consult with a gynecologic oncologist.
Screening and Early Detection for Average-Risk Patients
There is no recommended uterine cancer screening test, and there is no evidence that screening by ultrasonography or endometrial sampling reduces mortality from uterine cancer.
Answer the question on your own and check your answer.
What tests could be considered if your patient presents with symptoms of uterine cancer?
Answer: Pregnancy test, TVU or other imaging, uterine sampling, and a pelvic exam.