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Endometrial carcinoma — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Endometrial carcinomaUSMLE Step 3

A 62-year-old woman has 3 months of postmenopausal bleeding. She has obesity and type 2 diabetes. Pelvic examination shows blood from the cervical os and transvaginal ultrasound shows endometrial thickness of 9 mm. Which of the following is the most likely diagnosis?

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Correct answer: DEndometrial carcinoma

Postmenopausal bleeding with thickened endometrium, obesity, and diabetes is concerning for endometrial cancer.

Reference: ACOG postmenopausal bleeding guidance