Patient Management and Screening

The workup for patients with symptoms of or suspected uterine cancer—

For women older than age 35 with irregular or heavy bleeding, consider—

• Medical history (for example, symptoms of thyroid disease, bleeding diathesis).
• Pregnancy test.
• TVU or other imaging.
• Uterine biopsy or dilation and curettage (D&C).
• Pelvic exam.
• Pap test (risk of cervical lesion).

If you suspect uterine cancer or uterine sampling confirms cancer, refer the patient to or consult with a gynecologic oncologist.

Screening and Early Detection for Average-Risk Patients

There is no recommended uterine cancer screening test, and there is no evidence that screening by ultrasonography or endometrial sampling reduces mortality from uterine cancer.