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Postmenopausal bleeding — DRCOG MCQ

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HardGynaecological OncologyPostmenopausal bleedingDRCOG

A 58-year-old has vaginal bleeding 6 years after her final menstrual period and is not using HRT. Examination is normal. What is the most appropriate referral?

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Correct answer: C — Refer urgently for endometrial-cancer assessment

Postmenopausal bleeding in a woman aged 55 or over requires urgent suspected-cancer-pathway assessment for endometrial cancer. A normal examination does not exclude intrauterine pathology.

Reference: NICE NG12: Suspected cancer recognition and referral: https://www.nice.org.uk/guidance/ng12/chapter/recommendations-organised-by-site-of-cancer