![]() Then, using suction, a small amount of endometrium is removed through the tube. A very thin, flexible tube is put into the uterus through the cervix. Endometrial biopsyĪn endometrial biopsy is the most commonly used test for endometrial cancer and is very accurate in postmenopausal women. A gynecologist usually does these procedures, which are described below. Endometrial tissue can be removed by endometrial biopsy or by dilation and curettage (D&C) with or without a hysteroscopy. To find out exactly what kind of endometrial change is present, the doctor must take out some tissue so that it can be tested and looked at with a microscope. Ultrasound can be used to see endometrial polyps (growths), measure how thick the endometrium is, and can help doctors pinpoint the area they want to biopsy. (Sonogram is another term for ultrasound.) This procedure is called a saline infusion sonogram or hysterosonogram. This helps the doctor see the uterine lining more clearly. It may also help see if cancer is growing into the muscle layer of the uterus (myometrium).Ī small tube may be used to put salt water (saline) into the uterus before the ultrasound. Images from the TVUS can be used to see if the uterus contains a mass (tumor), or if the endometrium is thicker than usual, which can be a sign of endometrial cancer. For this test, the TVUS probe (that works the same way as the ultrasound transducer) is put into the vagina. That's why women getting a pelvic ultrasound are asked to drink lots of water before the test.Ī transvaginal ultrasound (TVUS) is often better to look at the uterus. Often, to get good pictures of the uterus, ovaries, and fallopian tubes, the bladder needs be full. A computer translates the echoes into pictures.įor a pelvic ultrasound, the transducer is moved over the skin of the lower part of the belly (abdomen). A small wand (called a transducer or probe) gives off sound waves and picks up the echoes as they bounce off the organs. Ultrasound uses sound waves to take pictures of the inside of the body. Ultrasound is often one of the first tests used to look at the uterus, ovaries, and fallopian tubes in women with possible gynecologic problems. The doctor will also do a physical exam and a pelvic exam. The doctor will ask about your symptoms, risk factors, and medical history. If you have any of the symptoms of endometrial cancer (see Signs and Symptoms of Endometrial Cancer), you should see a doctor right away. These doctors treat all stages of endometrial cancer. Specialists in treating cancers of the endometrium and other female reproductive organs are called gynecologic oncologists. Gynecologists can diagnose endometrial cancer, and sometimes treat it. This is a doctor trained to diagnose and treat diseases of the female reproductive system. If there’s a possibility you could have endometrial cancer, you should be examined by a gynecologist. ![]() Endometrial cancer is most often diagnosed after a woman goes to her doctor because she has symptoms.
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