Womb and Endometrium Cancer screening
Cancer of the womb (uterus) is a common cancer that affects the female reproductive system. It is also called uterine cancer and endometrial cancer
Can Endometrial Cancer be Found Early?
If you are at average risk, then at this time, there are no screening tests or examinations to find endometrial cancer early in patients who are at an average risk and have no symptoms.
However, The London General Practice recommends that at menopause all women should be told about the risks and symptoms of endometrial cancer and are strongly encouraged to report any vaginal bleeding, discharge or spotting.
Regular pelvic examination should be discussed. This can help in finding advanced uterine cancers but is not so useful for finding early endometrial cancer.
Screening tests for cervical cancer are not effective for discovering endometrial cancer. This risk should be informed to the patient and the patient should be advised to seek help with any abnormal vaginal bleeding.
Women who have or may have a hereditary non-polyposis colon cancer (HNPCC) or Lynch syndrome have a very high risk of endometrial cancer.
If several family members have had colon or endometrial cancer then genetic screening should be offered in order to determine the family’s risk of having HNPCC.
If the patient or a close relative has genetic testing and is found to have this mutation, then there is a higher risk of getting endometrial cancer as well as other cancers.
In these circumstances, yearly testing for endometrial cancer with endometrial biopsy starting at age 35 should be considered.