Our expert says:
I would think that the next step would be a hysteroscopy to check the whole endometrial cavity as an area of cancer could have been missed at curettage. If this shows only EIN then it would also depend on whether there is atypia or not. As the patient is symptomatic a hysterectomy would probably be indicated. I would suggest that you discuss with a gynae oncologist about whether adnexectomy is necessary as well.
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