PATIENT HISTORY
AUB is
the hallmark symptom of both endometrial hyper-plasia and cancer.
Further evaluation to rule out
underlying carcinoma is warranted in two general scenarios: (1) a
postmenopausal woman with any bleeding who is not on hormone replace-ment
therapy, or (2) a premenopausal woman with AUB in the presence of additional
risk factors (family history of breast, colon, or gynecologic cancer; obesity;
prior endometrial hyperplasia; chronic anovulation; tamoxifen use; or estrogen
therapy).
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