Endometrial cancer staging
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The staging of endometrial cancer is based on the FIGO staging system.
Staging
Endometrial carcinoma is surgically staged using the FIGO cancer staging system.
- Stage I: tumor confined to the corpus uteri
- Stage IA: no or less than half myometrial invasion
- Stage 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
- Stage IIIA: tumor invades the serosa of the corpus uteri and/or adnexae
- Stage IIIB: vaginal involvement and/or parametrial involvement
- Stage IIIC: metastases to pelvic and/or para-aortic lymph nodes
- Stage IIIC1: positive pelvic nodes
- Stage IIIC2: positive para-aortic nodes with or without positive pelvic lymph nodes
- Stage IV: tumor invades bladder and/or bowel mucosa, and/or distant metastases
- Stage IVA: tumor invasion of bladder and/or bowel mucosa
- Stage IVB: distant metastasis, including intra-abdominal metastases and/or inguinal nodes