Endometrial cancer other diagnostic studies
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Endometrial biopsy may be diagnostic of endometrial cancer.
Other Diagnostic Studies
1.Pap smear
- A Pap smear may be either normal or show abnormal cellular changes.
2. Endometrial curettage
- Endometrial curettage is the traditional diagnostic method. Both endometrial and endocervical material should be sampled.
3. Dilation and curettage
- 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.
4. Endometrial biopsy
- 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.
5. TruTest
- 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.
6. Colonoscopy
- 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.