Reaching the opening at the top of the pyramid is not too difficult, but any misstep will likely result in Lara sliding into the pit. So it's a good idea to save the game first.
Start on the west side of the small pyramid, where it slopes down toward the excavation pit. You'll probably recognize this area from the previous level. The building where you rescued the guard from the scorpion (or not) is off to the south beyond the pit. Walk onto the flat spot at the bottom left corner of the pyramid.
From here you can climb up one tier.
Turn right and take a running jump across the slope to land on the flat spot beyond. Climb up again...
...then once more.
Turn left and step up onto the next angled block. It looks too steep to stand on, but Lara can do it. Then climb onto the block at the top of the pyramid.
Walk to the edge of the opening; it's a long way down.
Turn around, drop back, and grab the edge of the opening. Then climb down the ladder into the pyramid.
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