62-year-old woman has postmenopausal bleeding after 13 years of menopause. She has hypeension and type 2 diabetes mellitus. An endometrial biopsy is performed that shows grade I endometrial adenocarcinoma. Which of the following is the most appropriate next step in management?
The patient has been diagnosed endometrial adenocarcinoma on biopsy The next step is to perform a staging laparotomy which involves the following Total abdominal hysterctomy + bilateral salpingo-oophorectomy Peritoneal cytology Omentectomy + appendicectomy + peritoneal biopsy: for non endometroid cancer Selective pelvic and para aoic lymphadenectomy
Chemotherapy
Cone biopsy
A Dilatation and Curretage
Hysterectomy
Endometrial Carcinoma and Hysterectomy