Is the endometrial evaluation routinely required in patients with adult granulosa cell tumors of the ovary?

Endometrial carcinoma/atypical hyperplasia were commonly observed in GCT patients > 40 years; based on these data, endometrial sampling should be performed in symptomatic women at least 40 years of age. In asymptomatic women < 40 years, endometrial sampling is of low yield.