Diagnosis hysteroscopy with endometrial curettage or endometrial sampling, curettage alone or outpatient endometrial sampling alone are essentia Curettage is not infallible. On the other hand, if a pipelle has been correct ly introduced (record how many cm) and the pathology is benign,or no tissue is obtained, it is most unlikely that malignancy exists 2003-10-27 Carcinoma of the endometrium
2003-10-27 Carcinoma of the Endometrium 11 Diagnosis Hysteroscopy with endometrial curettage or endometrial sampling，curettage alone， or outpatient endometrial sampling alone， are essential ． Curettage is not infallible．On the other hand，if a Pipelle has been correctly introduced（record how many cm）and the pathology is benign, or no tissue is obtained，it is most unlikely that malignancy exists．
Hysteroscopy, cervical smear (>1% risk of concurrent cervical malignancy and vaginal or abdominal ultrasound for ovarian pathology are advised when endometrial malignancy is found 2003-10-27 Carcinoma of the endometrium
2003-10-27 Carcinoma of the Endometrium 12 Hysteroscopy，cervical smear（>1％ risk of concurrent cervical malignancy） and vaginal or abdominal ultrasound for ovarian pathology are advised， when endometrial malignancy is found．
Hysteroscopy Curettage 以少∵
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Typical early polypoidal fundal growth 此小 Histology he majority of tumours(60%)are pure adenocarcinomata. they can be divided into 3 groups according to the degree of glandular differentiation
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Grade 1-well differentiated Gland forms are conspicuous. Mitotic figures are moderately numerous Grade 2- patchy differentiation Gland forms are much less prominent Single and many deposits consist of cell infiltrating single cell columns columns or solid masses Grade 3. This type consists of solid masses of malignant cells of varying sizes and shapes with little or no stroma or a Mitoses are numerous e·
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