Based on my experience, my hysterectomy pathologist report is the gold final results. The reason I did D&C is that my biopsy did not show cancer clearly, so unsure if do hysterectomy, but the cut off uterus shows it is cancer, so only hysterectomy to cuff of the ulterus can tell the final results. D&C only a test, but may miss the focal spot which has cancer.

After my first episode of light spotting, my doctor performed an exam and I had a vaginal ultrasound. Both were normal so my doctor said nothing further needed to be done. When I had light spotting a second time, my doctor and I agreed to get a biopsy. My doctor explained that a hysteroscopy includes a camera inserted into the uterus and an instrument is used to grab samples of the lining for biopsy. A D&C will remove any remaining tissue to ensure the entire lining is biopsied. If results are benign, I don't think a doctor would do a hysterectomy unless there are other indications of cancer. If no cancer is found, in my case the doctor said my slight spotting would most likely be due to vaginal atrophy.