The pelvic exam is a physical examination by a physician of the uterus, vagina, ovaries, fallopian tubes, bladder, and rectum. During this exam, your physician will feel these organs for any change or abnormality of their shape or size. The high-risk category includes women who have a history of obesity, infertility, failure to ovulate, abnormal uterine bleeding, or unopposed estrogen or tamoxifen therapy. The procedure to obtain an endometrial tissue sample can be performed by a physician in his or her office. Currently, the standard treatment for uterine cancer is a total abdominal hysterectomy with removal of the uterus and cervix, both fallopian tubes, and the ovaries.
Surgical treatment provides the best possible outcome for patients.
In an abdominal hysterectomy, the surgeon generally makes a midline, lower- abdominal incision to remove these organs. Depending on the stage of the cancer, radiation therapy and chemotherapy may also be used.