Endometrial cancer differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
==Diiferentiating Endometrial cancer from other Diseases== | ==Diiferentiating Endometrial cancer from other Diseases== | ||
* [[Cervical cancer | *[[Endometrial hyperplasia]] - A [[post menopausal]] female will have same clinical history and examination making this condition indistinguishable from cancer. [[Biopsy]] is the only way to tell them apart. | ||
*[[Endometrial polyp]] - Usually asymptomatic, but even if symptomatic, history is the same as cancer. [[Transvaginal]] [[ultrasound]] and [[saline]] infusion [[hysterosalpinogram]] can demonstrate the polyp. | |||
*[[Endometriosis]] - Common in pre-menopausal females; typical features like pelvic pain, [[dyspareunia]] and nodularity of [[utero-sacral ligament]] are present; Ultrasound will demonstrate [[endometrioma]] | |||
* [[Cervical cancer]] - patient is younger, without a history of prior [[Pap smear]], presenting with [[post-coital bleeding]] and an [[exophytic]] growth; [[colposcopy]] and biopsy to establish the diagnosis. | |||
*[[Pyometria]] - typical history would be a [[febrile]] patient with recent cervical surgery with an enlarged, tender uterus; Ultrasound will demonstrate fluid inside the uterus. | |||
* Uterine sarcomas | * Uterine sarcomas | ||
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[[Category:Gynecology]] | [[Category:Gynecology]] | ||
[[Category:Oncology]] | [[Category:Oncology]] | ||
[[Category:Grammar]] | |||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Revision as of 03:13, 23 September 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Diiferentiating Endometrial cancer from other Diseases
- Endometrial hyperplasia - A post menopausal female will have same clinical history and examination making this condition indistinguishable from cancer. Biopsy is the only way to tell them apart.
- Endometrial polyp - Usually asymptomatic, but even if symptomatic, history is the same as cancer. Transvaginal ultrasound and saline infusion hysterosalpinogram can demonstrate the polyp.
- Endometriosis - Common in pre-menopausal females; typical features like pelvic pain, dyspareunia and nodularity of utero-sacral ligament are present; Ultrasound will demonstrate endometrioma
- Cervical cancer - patient is younger, without a history of prior Pap smear, presenting with post-coital bleeding and an exophytic growth; colposcopy and biopsy to establish the diagnosis.
- Pyometria - typical history would be a febrile patient with recent cervical surgery with an enlarged, tender uterus; Ultrasound will demonstrate fluid inside the uterus.
- Uterine sarcomas