The endometrial tumor is usually an endometrioid adenocarcinoma. It usually manifests as postmenopausal vaginal bleeding. Diagnosis is made by biopsy. Staging is surgical. Treatment requires hysterectomy, bilateral salpingo-oophorectomy, and, in high-risk patients, often pelvic and para-aortic lymphadenectomy. For advanced tumors, radiation therapy, hormone therapy or chemotherapy is usually indicated.
