Clinical Implications of Gynecologic Cancer
The postmenopausal patient with new-onset vaginal bleeding should be assessed with transvaginal pelvic sonography. An endometrial thickness of ≤4 mm (ACOG) (or 5 mm by other societies) is a safe cutoff to defer endometrial sampling as the risk or endometrial malignancy is 1% unless the patient has persistent or intermittent bleeding where the risk may be higher .
- 7.National Comprehensive Cancer Network (NCCN)Google Scholar
- 10.Menon U, Gentry-Maharaj A, Hallett R, Ryan A et al (2009) Sensitivity and specificity of multimodal and ultrasound screening for ovarian cancer, and stage distribution of detected cancers: results of the prevalence screen of the UK collaborative trial of ovarian cancer screening (UKCTOCS). Lancet Oncol 10(4):327CrossRefGoogle Scholar
- 12.NCCN Guidelines Version 2.2012: Epithelial ovarian cancer/fallopian tube cancer/ primary peritoneal cancer. http://www.nccn.org.laneproxy.stanford.edu/professionals/physician_gls/pdf/ovarian.pdf