A 60-year-old woman presents to the GP with postmenopausal bleeding. Pelvic ultrasound shows an endometrial thickness of 12 mm. Endometrial biopsy rev...

Question

A 60-year-old woman presents to the GP with postmenopausal bleeding. Pelvic ultrasound shows an endometrial thickness of 12 mm. Endometrial biopsy reveals grade 1 endometrioid adenocarcinoma. What is the most appropriate next step in management?

Accepted Answer

Refer urgently to gynaecological oncology for staging and surgical management (total hysterectomy and bilateral salpingo-oophorectomy)

Answer

Commence progestogen therapy and rescan in 6 months

Answer

Repeat the biopsy to confirm the result

Answer

Commence chemotherapy

Answer

Arrange radiotherapy as first-line treatment

uk-drcog MCQ (SBA): Endometrial Cancer - Referral

A 60-year-old woman presents to the GP with postmenopausal bleeding. Pelvic ultrasound shows an endometrial thickness of 12 mm. Endometrial biopsy reveals grade 1 endometrioid adenocarcinoma. What is the most appropriate next step in management?