Usefulness of invasive diagnosis in an atypical case of endometrial carcinoma

: Endometrial cancer generally arises early with atypical uterine bleeding: its incidence is about 8-10% in presence of this symptom. Many techniques, invasive and not invasive, have been introduced for early diagnosis and they are all more or less reliable: integration of them all is the most important objective to obtain a screening program which makes some results comparable to those obtained for cervical cancer. Hysteroscopy is the only technique which allows us to have a direct vision of the uterine cavity, of all the techniques we actually use for endometrial cancer diagnosis. Also, we can carry out hysteroscopy in the day-hospital, often without anaesthesia, with little discomfort for the woman and with little risk of complications: these facts speak well for this technique. We discuss a case of a 71-year-old patient, para 1001, menarche at 13, menopause at 45, affected by a G2-G3 endometrial adenocarcinoma located in an atypical site, for which diagnosis hysteroscopy was of primary importance.