{
  "schema_version": 1,
  "kind": "condition",
  "id": "uterine-cancer",
  "name": "Cancer of the uterus (endometrial cancer)",
  "category": "chronic",
  "sources": "Endometrial Cancer - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK525981/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GD28.04 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Cancer of the uterus (endometrial cancer) - disease-level clinical article (uterine-cancer-full.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1831,
      "generic": "No drug therapy in primary care (Recognition & Referral)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Malignant uterine (usually endometrial) tumour; postmenopausal bleeding is the cardinal warning sign and mandates urgent gynae-oncology referral for biopsy and staging rather than primary-care treatment.",
      "adult_duration": "Refer",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "Malignant uterine (usually endometrial) tumour; postmenopausal bleeding is the cardinal warning sign and mandates urgent gynae-oncology referral for biopsy and staging rather than primary-care treatment.",
      "cautions": [
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Abnormal uterine bleeding in premenopausal women aged 45 or older, or in younger premenopausal women with risk factors (obesity, PCOS, Lynch syndrome, tamoxifen use), requires endometrial assessment to exclude cancer.",
        "RED FLAG - Pelvic pain, abnormal vaginal discharge, or uterine enlargement on examination may indicate advanced endometrial malignancy requiring evaluation.",
        "RED FLAG - Postmenopausal bleeding, abnormal or heavy intermenstrual bleeding in an older woman, or a pelvic mass."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "uterine-cancer"
    }
  ]
}