ABSTRACT

Most endometrial carcinomas present with abnormal vaginal bleeding, especially post-menopausal bleeding, which may be profuse, or inter-menstrual bleeding if pre-or peri-menopausal.

Other presenting symptoms include:

• Abdominal pain. • Pelvic mass-due to enlarged uterus. • Pyometra-bloody vaginal discharge due to obstruction of the lower uterine

cavity which becomes distended with infected secretions. • Abnormal glandular cytology or endometrial cells on cervical cytology.