Endometrial carcinoma is one of the most common gynecologic cancers worldwide. The condition typically occurs after menopause; however, young women under the age of 40 years can also be diagnosed with the disease. Providers may delay diagnosis in young patients due to nonspecific presentation or low clinical suspicion. Standard treatment includes surgery, chemotherapy, and adjuvant radiotherapy. All these therapeutic interventions are determined by the patient's tumor stage and prognosis. However, in the case of a young patient, treatment options are determined by their desire to maintain fertility and ovarian function. We reported a case of a 26-year-old woman who presented to the gynecological office complaining of irregular menstrual cycles and oligomenorrhea. Endometrioid endometrial carcinoma was found after diagnostic hysteroscopy, followed by dilation and curettage (D&C) and a tissue examination. Our patient desired a surgical option as her family was complete. This case illustrates the importance of early diagnostic evaluation in young women with risk factors and highlights individualized decision-making in treatment planning.

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