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Endometrial cancer diagnosis

Endometrial cancer diagnostic test

If you have symptoms that could indicate endometrial cancer, your doctor will examine you and ask you about your health. Lifestyle, including smoking and drinking habits; And your family history.

If your doctor thinks you may have endometrial cancer, the first step will be a biopsy. Your doctor will decide the best way to do a biopsy. Methods include:

Endometrial biopsy: A thin, flexible tube is inserted into the uterus through the cervix. Using negative pressure suction, a small amount of tissue is removed through the catheter.

Dilation and curettage: If the endometrial biopsy does not provide enough tissue or the endometrial cancer diagnosis is unclear, a D&C may be required. The cervix is dilated (enlarged) with a series of increasingly large metal rods. The cells are then removed from the endometrium using a tool called a curette.

Hysteroscope: A thin telescope-like device with light (hysteroscope) is passed through the vagina into the uterus. The doctor then looks at the openings of the uterus and fallopian tubes. Small pieces of tissue can be removed. D&C can be used for hysteroscopy

One or more of the following tests can be used to check for endometrial cancer and whether it has spread. These tests can also be used to determine if a treatment is working.

Surgical procedures, including:

Hysterectomy: removal of the uterus

Bilateral salpingo-oophorectomy: removal of the uterus, ovaries, and fallopian tubes

Lymph node dissection: pelvic and lower abdominal lymph node dissection

Imaging tests, including:

Ultrasound (Define link)

CT or CAT (computerized axial tomography) scan

Magnetic resonance imaging scan

Positron emission tomography

Chest X-ray

Blood tests, including:

Complete blood count

CA 125: Endometrial cancer sometimes releases this substance into the bloodstream. High levels of CA 125 May mean that the cancer has spread beyond the uterus or has returned after treatment.

Genetic testing

Hospitals offer genetic testing to some women who have endometrial cancer or are at risk. Genetic counseling may be recommended if you:

She was diagnosed with endometrial cancer before age 50

Got colorectal cancer

Have any close relatives with colon, rectal or endometrial cancer

Tested positive for Lynch syndrome gene mutations in relatives (MLH1, MSH2, MSH6, PMS2 genes)

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