Endometrial cancer other diagnostic studies: Difference between revisions

Jump to navigation Jump to search
Line 11: Line 11:
*Endometrial [[curettage]] is the traditional diagnostic method. Both endometrial and endocervical material should be sampled.
*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.
*If endometrial curettage does not yield sufficient diagnostic material, a [[dilation and curettage]] (D&C) is necessary for diagnosing the cancer.
*[[Endometrial biopsy]] or [[Needle aspiration biopsy|aspiration]] may assist the diagnosis. The removal of tissue 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.
*[[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.
*Transvaginal [[ultrasound]] to evaluate the endometrial thickness in women with postmenopausal bleeding is increasingly being used to evaluate for endometrial cancer.
*Transvaginal [[ultrasound]] to evaluate the endometrial thickness in women with postmenopausal bleeding is increasingly being used to evaluate for endometrial cancer.
* Recently, a new method of testing has been introduced called the [[TruTest]], offered through Gynecor. 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.
* Recently, a new method of testing has been introduced called the [[TruTest]], offered through Gynecor. 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.

Revision as of 16:07, 12 September 2012

Endometrial cancer Microchapters

Home

Patient Information

Overview

Historical perspective

Classification

Pathophysiology

Causes

Differentiating Endometrial cancer from other Diseases

Epidemiology and Demographics

Risk factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Staging

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

MRI

Ultrasound

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Future or Investigational Therapies

Case Studies

Case #1

Endometrial cancer other diagnostic studies On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Endometrial cancer other diagnostic studies

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Endometrial cancer other diagnostic studies

CDC on Endometrial cancer other diagnostic studies

Endometrial cancer other diagnostic studies in the news

Blogs on Endometrial cancer other diagnostic studies

Directions to Hospitals Treating Endometrial cancer

Risk calculators and risk factors for Endometrial cancer other diagnostic studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Other Diagnostic Studies

Routine screening of asymptomatic women is not indicated, since the disease is highly curable in its early stages. Results from a pelvic examination are frequently normal, especially in the early stages of disease. Changes in the size, shape or consistency of the uterus and/or its surrounding, supporting structures may exist when the disease is more advanced.

  • A Pap smear may be either normal or show abnormal cellular changes.
  • 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.
  • Endometrial biopsy or 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.
  • Transvaginal ultrasound to evaluate the endometrial thickness in women with postmenopausal bleeding is increasingly being used to evaluate for endometrial cancer.
  • Recently, a new method of testing has been introduced called the TruTest, offered through Gynecor. 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. The tumor marker CA-125 is sometimes checked, since this can predict advanced stage disease.[1]

References

  1. Dotters DJ. Preoperative CA 125 in endometrial cancer: is it useful? Am J Obstet Gynecol 2000;182:1328-34. PMID 10871446.


Template:WikiDoc Sources