Endometrial cancer staging: Difference between revisions

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{{Endometrial cancer}}
{{Endometrial cancer}}
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==Overview==
==Overview==
According to the FIGO [[cancer staging]] system, there are 4 stages of endometrial cancer.


==Staging==  
==Staging==  
Endometrial carcinoma is surgically staged using the [[International Federation of Gynecology and Obstetrics|FIGO]] [[cancer staging]] system.
Endometrial carcinoma is surgically staged using the [[International Federation of Gynecology and Obstetrics|FIGO]] [[cancer staging]] system.<ref>{{Cite web | title = Endometrial cancer staging | url = http://www.cancer.gov/types/uterine/hp/endometrial-treatment-pdq#section/_14}}</ref>
*'''Stage IA''': tumor is limited to the endometrium
*'''Stage IB''': invasion of less than half the [[myometrium]]
*'''Stage IC''': invasion of more than half the myometrium
*'''Stage IIA''': endocervical glandular involvement only
*'''Stage IIB''': cervical stromal invasion
*'''Stage IIIA''': tumor invades serosa or adnexa, or malignant peritoneal cytology
*'''Stage IIIB''': vaginal metastasis
*'''Stage IIIC''': metastasis to pelvic or para-aortic lymph nodes
*'''Stage IVA''': invasion of the bladder or bowel
*'''Stage IVB''': distant metastasis, including intraabdominal or inguinal lymph nodes


{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
|+
! style="background: #4479BA; width: 120px;" | {{fontcolor|#FFF|Stage}}
! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Findings}}
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''Stage I'''
| style="padding: 5px 5px; background: #F5F5F5;" | Tumor confined to the corpus uteri
|-
| style="padding: 5px 5px; background: #DCDCDC;" align="center" +| '''IA'''
| style="padding: 5px 5px; background: #F5F5F5;" | No or less than half myometrial invasion
|-
| style="padding: 5px 5px; background: #DCDCDC;" align="center" +| '''IB'''
| style="padding: 5px 5px; background: #F5F5F5;" | Invasion equal to or more than half of the [[myometrium]]
|-
| style="padding: 5px 5px; background: #DCDCDC;" |'''Stage II'''
| style="padding: 5px 5px; background: #F5F5F5;" | Tumor invades cervical stroma but does not extend beyond the [[uterus]]
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''Stage III'''
| style="padding: 5px 5px; background: #F5F5F5;" | Local and/or regional spread of the tumor
|-
|style="padding: 5px 5px; background: #DCDCDC;" align="center" +|'''IIIA'''
| style="padding: 5px 5px; background: #F5F5F5;" | Tumor invades the serosa of the corpus uteri and/or adnexae
|-
| style="padding: 5px 5px; background: #DCDCDC;" align="center" +|'''IIIB'''
| style="padding: 5px 5px; background: #F5F5F5;" | Vaginal involvement and/or parametrial involvement
|-
| rowspan=3 style="padding: 5px 5px; background: #DCDCDC;" align="center" +| '''III C'''
| style="padding: 5px 5px; background: #F5F5F5;" | Metastases to pelvic and/or para-aortic lymph nodes
|-
| style="padding: 5px 5px; background: #F5F5F5;" | (i) Positive pelvic nodes
|-
| style="padding: 5px 5px; background: #F5F5F5;" | (ii) Positive para-aortic nodes with or without positive pelvic [[lymph nodes]]
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''Stage IV'''
| style="padding: 5px 5px; background: #F5F5F5;" | Tumor invades bladder and/or bowel mucosa, and/or distant metastases
|-
| style="padding: 5px 5px; background: #DCDCDC;" align="center" +| '''IVA'''
| style="padding: 5px 5px; background: #F5F5F5;" | Tumor invasion of [[bladder]] and/or bowel mucosa
|-
| style="padding: 5px 5px; background: #DCDCDC;" align="center" +| '''IVB'''
| style="padding: 5px 5px; background: #F5F5F5;" | Distant metastasis, including intra-abdominal [[metastases]] and/or inguinal nodes
|-
|}


==References==
==References==
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[[Category:Types of cancer]]
[[Category:Types of cancer]]
[[Category:Gynecology]]
[[Category:Gynecology]]
[[Category:Oncology]]


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Latest revision as of 14:12, 29 November 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]

Overview

According to the FIGO cancer staging system, there are 4 stages of endometrial cancer.

Staging

Endometrial carcinoma is surgically staged using the FIGO cancer staging system.[1]

Stage Findings
Stage I Tumor confined to the corpus uteri
IA No or less than half myometrial invasion
IB Invasion equal to or more than half of the myometrium
Stage II Tumor invades cervical stroma but does not extend beyond the uterus
Stage III Local and/or regional spread of the tumor
IIIA Tumor invades the serosa of the corpus uteri and/or adnexae
IIIB Vaginal involvement and/or parametrial involvement
III C Metastases to pelvic and/or para-aortic lymph nodes
(i) Positive pelvic nodes
(ii) Positive para-aortic nodes with or without positive pelvic lymph nodes
Stage IV Tumor invades bladder and/or bowel mucosa, and/or distant metastases
IVA Tumor invasion of bladder and/or bowel mucosa
IVB Distant metastasis, including intra-abdominal metastases and/or inguinal nodes

References

  1. ↑ "Endometrial cancer staging".


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