A 57-year-old patient's assessment and examination has revealed a family history of endometrial cancer.She has never been pregnant and has been taking hormone replacement therapy for 4 years.Her physician has scheduled her for a surgical procedure to obtain visual and pathologic information and provide treatment as indicated.The patient was sure that she would have to have a dilatation and curettage (D&C).Her surgery,on the operative schedule,would most probably be written as:

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D&C is done for diagnostic purposes for a variety of pelvic conditions,such as abnormal uterine bleeding.D&C is also performed to obtain tissue for diagnosis when carcinoma of the endometrium is suspected,in the study of infertility,or for removal of uterine polyps.Fragments of endometrium or other dislodged tissues may be removed with warm,moist radiopaque gauze sponges on sponge-holding forceps.The surgeon may take multiple punch biopsies of the suspected cervical lesions with a cervical biopsy forceps to supplement the diagnostic studies.

A 57-Year-Old Patient's Assessment and Examination Has Revealed a Family