A 48-year-old woman is seen in the clinic with complaints of prolonged heavy menstrual periods.She is pale and states she can no longer exercise.Pelvic exam reveals a single, very large mass.Which of the following diagnostic tests should the clinician order first?

Question

Quizplus · Accepted Answer

The first diagnostic test to order in a patient with prolonged heavy menstrual periods and a single, very large pelvic mass is a transvaginal ultrasound. This test can help determine the size and location of the mass, which will guide further investigation and management. An endometrial biopsy may be indicated if there is suspicion of endometrial cancer, but an ultrasound is necessary to guide the biopsy. An MRI or CT scan may be ordered later in the diagnostic workup, but a transvaginal ultrasound is the initial test of choice.

A 48-Year-Old Woman Is Seen in the Clinic with Complaints