Guideline helps identify early endometrial cancer

NEW algorithms for investigating abnormal vaginal bleeding have been developed to improve the early identification of women with endometrial cancer.

The guidelines, including two algorithms, have been developed by Cancer Australia and endorsed by the professional colleges of gynaecologists and radiologists.

While abnormal bleeding is often the first sign of endometrial cancer, specialists say in practice the pathways of investigating it vary considerably.

The algorithms for pre- and post-menopausal women will help maximise diagnostic accuracy, they said.

The documents should help GPs identify the best way forward by providing them with an algorithm that’s clear and specific,  said gynaecological oncologist Dr Alison Brand, chair of the guidelines working group.

The pathway to diagnosis can be markedly different in a woman aged 21 compared with a woman aged 81, she said.

“Some people might prescribe