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  • Q&A with Australian Health Practitioners

    How is uterine cancer diagnosed?

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    Dr David Rosen


    Specialist endoscopic(keyhole) and robotic surgeon with interest in; prolapse and incontinence surgery, endometriosis, menstrual disorders including complicated hysterectomies by keyhole surgery, Essure hysteroscopic sterilization as … View Profile

    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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