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==Overview==
==Overview==
[[Endometrial biopsy]] may be diagnostic of endometrial cancer.
Other diagnostic studies for endometrial cancer include endometrial biopsy


==Other Diagnostic Studies==
==Other Diagnostic Studies==
* A [[Pap smear]] may be either normal or show abnormal cellular changes.
Other diagnostic studies for endometrial cancer include endometrial biopsy, which is diagnostic for the disease.<ref name="pmid17316648">{{cite journal| author=Güney M, Oral B, Mungan T| title=Intrauterine lidocaine plus buccal misoprostol in the endometrial biopsy. | journal=Int J Gynaecol Obstet | year= 2007 | volume= 97 | issue= 2 | pages= 125-8 | pmid=17316648 | doi=10.1016/j.ijgo.2006.11.017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17316648  }} </ref>
* Endometrial [[curettage]] is the traditional diagnostic method. Both endometrial and endocervical material should be sampled.
 
* If endometrial curettage does not yield sufficient diagnostic material, a dilation and curettage (D&C) is necessary for diagnosing the cancer. In D&C, samples of tissue are removed from the inner lining of the uterus. The cervix is dilated and a curette (spoon-shaped instrument) is inserted into the uterus to remove tissue. Tissue samples may be taken and checked under a microscope for signs of disease. This procedure is also called a D&C.  
In the past, dilatation and curettage was the diagnostic study of choice; however, nowadays it is mostly used as management for women with heavy bleeding or diagnostically in patients that cannot tolerate endometrial biopsy in the office.
* [[Endometrial biopsy]] or [[Needle aspiration biopsy|aspiration]] may assist the diagnosis. In [[endometrial biopsy]], small amount of tissue is removed from the endometrium (inner lining of the uterus) by inserting a thin, flexible tube through the cervix and into the uterus. The tube is used to gently scrape a small amount of tissue from the endometrium and then remove the tissue samples. A pathologist views the tissue under a microscope to look for cancer cells.
* [[TruTest]]- It uses the small flexible [[Tao Brush]] to brush the entire lining of the uterus. This method is less painful than a pipelle biopsy and has a larger likelihood of procuring enough tissue for testing. Since it is simpler and less invasive, the TruTest can be performed as often, and at the same time as, a routine Pap smear, thus allowing for early detection and treatment.
* [[Colonoscopy]] is recommended if the stool is guaiac positive or the woman has symptoms, due to the etiologic factors common to both endometrial cancer and [[colon cancer]].


==References==
==References==
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Latest revision as of 15:14, 29 November 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Roukoz A. Karam, M.D.[2]

Overview

Other diagnostic studies for endometrial cancer include endometrial biopsy

Other Diagnostic Studies

Other diagnostic studies for endometrial cancer include endometrial biopsy, which is diagnostic for the disease.[1]

In the past, dilatation and curettage was the diagnostic study of choice; however, nowadays it is mostly used as management for women with heavy bleeding or diagnostically in patients that cannot tolerate endometrial biopsy in the office.

References

  1. Güney M, Oral B, Mungan T (2007). "Intrauterine lidocaine plus buccal misoprostol in the endometrial biopsy". Int J Gynaecol Obstet. 97 (2): 125–8. doi:10.1016/j.ijgo.2006.11.017. PMID 17316648.


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