Pap smears assist in early diagnosis of uterine cancer. The peak incidence of endometrial cancer occurs in:
A. Postmenopausal women aged 50 to 70 years old
B. Postmenopausal women aged 40 to 50 years old
C. Premenopausal women between 30 and 40 years old
D. Premenopausal women between 40 and 50 years old
ANS: A
It is important to perform Pap smears on older women because 25% of cervical cancers occur in women older than 65 years of age, and the peak incidence of endometrial cancer occurs in postmenopausal women between 50 and 70 years. In patients who have had hysterectomies, a smear of the vaginal cuff is still suggested as well as inspection of the vaginal mucosa and external genitalia looking for signs of malignancy.
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