Thanks
Gynaecologist, Laparoscopic Surgeon
Uterine cancer may be i/ cancer of the endometrium (lining of the cavity of the uterus) or
ii/ the uterine muscle (sarcoma).
They behave and present differently. In general, endometrial cancer presents as heavy or irregular menstrual bleeding or post-menopausal bleeding and is demonstrated with thickening in lining of the uterus on ultrasound. it is then diagnosed by a hysteroscopy and curettage to look into the cavity of the uterus and perform a biopsy of the affected tissue. An ultrasound showing rapid change in uterine size or chnage in the size or nature of uterine fibroids is also a means of diagnosing sarcomatous change and may lead to further investigation such as MRI before surgery.
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