Cancer Clinical Trial
Official title:
Anxiety and Distress Levels in Women With Suspected Endometrial Cancer Seen in the Rapid Access Gynaecology Clinic
Patients attending the rapid access gynaecology clinic with a suspicion of endometrial cancer
are understandably nervous. Few studies have quantified anxiety and distress of patients in
this group.
This study surveys anxiety and stress levels of women attending clinic (by filling in an
anonymous questionnaire). Additionally, in women who need a tissue biopsy, women are asked to
rate their pain scores.
Aims:
Quantify the anxiety and stress levels of women attending the Rapid access gynaecology clinic
with a suspicion of cancer
Background:
Endometrial cancer is a tumour originating in the endometrium (womb lining); it is the most
common gynaecological cancer in the United Kingdom (UK). In 2012, there were almost 100,000
new cases diagnosed in Europe. Endometrial cancer classically presents with postmenopausal
bleeding (bleeding after the menopause), or intermenstrual bleeding (bleeding in between
periods).
Although routine management for these women does vary, in general a screening test is
performed, typically a pelvic (internal) ultrasound to assess the endometrium (womb lining).
In cases where the endometrial thickness is above the threshold for investigation -an
endometrial biopsy (sampling cells from the womb lining) is indicated. Whilst well tolerated,
this can be quite painful.
Once the endometrial biopsy is performed, it is sent to the histologist for further
examination. Histological analysis may take several days and patients are either brought back
to clinic for discussion of the results or are given a telephone appointment. The patient
often will not know the result of the test for up to 2 weeks; thus causing a lot of
unnecessary anxiety and distress.
The study:
Patients attending the Rapid Access Gynaecology Clinic will be invited to participate in the
study by filling in a short anonymous survey.
Additionally, patients undergoing a tissue biopsy sample will be asked to provide a pain
score, followed by a brief interview to ascertain if they would undergo the procedure again
if it was needed and how they tolerated the procedure. Additionally, the time taken to
perform the procedure will be recorded.
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