Diagnostic Algorithm to Diagnose Endometrial Carcinoma for Women with Abnormal Uterine Bleeding - Flowchart
Diagnostic Algorithm to Diagnose Endometrial Carcinoma for Women with Abnormal Uterine Bleeding - Flowchart Endometrial Cancer Endometrial Cancer
«Flowchart»

Abnormal uterine bleeding

Abnormal uterine bleeding

Abnormal uterine bleeding

Premenopausal

Premenopausal

Premenopausal

Post-menopausal

Post-menopausal

Post-menopausal

Exclude pregnancy and endometrial biopsy

Exclude pregnancy and endometrial biopsy

Exclude pregnancy and endometrial biopsy

<45 yr old

<45 yr old

<45 yr old

45 yr old

45 yr old

45 yr old

Exclude pregnancy and endometrial biopsy

Exclude pregnancy and endometrial biopsy

Exclude pregnancy and endometrial biopsy

No sampling of endometrium needed unless:


Failing medical management
No other identifiable causes

No sampling of endometrium needed unless:


Failing medical management
No other identifiable causes

No sampling of endometrium needed unless:


Failing medical management
No other identifiable causes


Failing medical management
No other identifiable causes

Risk factors:


Obese
Anovulatory
Signs of hyperandrogenism

Risk factors:


Obese
Anovulatory
Signs of hyperandrogenism

Risk factors:


Obese
Anovulatory
Signs of hyperandrogenism


Obese
Anovulatory
Signs of hyperandrogenism

No

No

No

Yes

Yes

Yes

End

End

End

Transvaginal ultrasound

Transvaginal ultrasound

Transvaginal ultrasound

Endometrial biopsy

Endometrial biopsy

Endometrial biopsy

Endometrial biopsy

Endometrial biopsy

Endometrial biopsy

No sampling of endometrium needed unless:


Future episodes of bleeding

No sampling of endometrium needed unless:


Future episodes of bleeding

No sampling of endometrium needed unless:


Future episodes of bleeding


Future episodes of bleeding

Endometrial stripe <4 mm

Endometrial stripe <4 mm

Endometrial stripe <4 mm

Endometrial stripe 4 mm

Endometrial stripe 4 mm

Endometrial stripe 4 mm