Hysteroscopy could be an interesting approach to evaluate the cervical invasion by endometrial cancer. From 2003 to 2004 we performed 30 hysteroscopy with endometrial biopsy with conclusive diagnosis of endometrial carcinoma and we calculated the sensitivity and specificity of hysteroscopy in assessing tumor invasion of the uterine cervix. Our data showed an high sensitivity and specificity of hysteroscopy that reported almost the same value of the histological examination. Our conclusions are that hysteroscopy is a suitable examination in endometrial cancer staging.