Name of the Procedure:

Screening for Uterine Malignancy
Technical/Medical Terms: Endometrial Sampling, Transvaginal Ultrasound, G9618

Summary

Screening for uterine malignancy involves medical procedures like endometrial sampling and transvaginal ultrasound to check for abnormal cells or growths in the uterus. These tests help to detect potential cancers at an early stage.

Purpose

The procedure primarily addresses the early detection of uterine cancer and other abnormalities in the uterus. The goal is to diagnose potential malignancies early, allowing for timely and effective treatment.

Indications

• Abnormal uterine bleeding
• Postmenopausal bleeding
• Thickened endometrium observed in an ultrasound
• High risk of endometrial cancer (e.g., family history, obesity, hormone therapy)

Preparation

• Fasting may not be necessary for this procedure.
• Patients may need to disclose current medications and potentially adjust them as advised by their healthcare provider.
• Diagnostic tests, such as pelvic ultrasound, may be required beforehand for better assessment.

Procedure Description

1. Transvaginal Ultrasound: A probe is inserted into the vagina to capture images of the uterus and endometrium.
2. Endometrial Sampling:
   • Placement of a speculum.
   • Use of a thin, flexible tube (pipelle) to gently suction a small tissue sample from the uterine lining.
   • Collected tissue is sent to a lab for analysis.

Anesthesia is usually not required, but a mild sedative or local anesthetic might be used for patient comfort.

Duration

The procedure typically takes about 10-20 minutes.

Setting

The procedure is usually performed in an outpatient clinic or a gynecologist's office.

Personnel

• Gynecologist
• Nurse or medical assistant

Risks and Complications

• Common Risks: Cramping, light bleeding.
• Rare Risks: Infection, uterine perforation, heavy bleeding.
• Management of complications may involve medications or additional procedures as necessary.

Benefits

Early detection of uterine abnormalities or malignancies, which can lead to early treatment and better outcomes. Patients often notice benefits within a few days after the procedure once results are obtained.

Recovery

• Post-procedure Care: Patients can typically go home the same day. Over-the-counter pain relievers may be used to manage discomfort.
• Recovery Time: Generally within 1-2 days.
• Restrictions: Avoid strenuous activity or sexual intercourse for a couple of days.
• Follow-Up: A follow-up appointment may be required to discuss biopsy results and next steps.

Alternatives

• Other Options: Hormone therapy, more comprehensive imaging studies, Dilation and Curettage (D&C).
• Pros and Cons: Alternatives like D&C are more invasive but may be necessary for a more comprehensive tissue sample.

Patient Experience

During the procedure, you might feel some cramping or discomfort similar to menstrual cramps. After the procedure, mild cramping and light spotting are common. Pain management can include over-the-counter medications, and the healthcare team will ensure comfort throughout the process.