Endometrial Cancer Staging



Fig. 14.1
Carcinoma endometrium, Stage 1A (T1a, N0, M0) Tumor Confined to the uterus, no or < ½ myometrial invasion, Stage 1B (T1b, N0, M0) Tumor Confined to the uterus, no or > ½ myometrial invasion





Stage II (Fig. 14.2)


T2, N0, M0: The cancer has spread from the body of the uterus and infiltrates cervical stroma.

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Fig. 14.2
Stage II (T2, N0, M0) Carcinoma endometrium, Cervical stromal invasion, but not beyond uterus


Stage III (Figs. 14.3, 14.4, 14.5, and 14.6)


T3, N0, M0: Either the cancer has spread outside of the uterus or into nearby tissues in the pelvic area.



  • Stage IIIA (T3a, N0, M0): The cancer has spread to the uterine serosa and/or to the fallopian tubes or ovaries (the adnexa).


  • Stage IIIB (T3b, N0, M0): The cancer has spread to the vagina and/or to the parametrium.


  • Stage IIIC1 (T1 to T3, N1, M0): The endometrial cancer has spread to pelvic lymph nodes but not to lymph nodes around the aorta or distant sites.


  • Stage IIIC2 (T1 to T3, N2, M0): The endometrial cancer has involved para-aortic lymph nodes but not spread to distant sites.


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Fig. 14.3
Stage IIIA (T3a, N0, M0) Carcinoma endometrium, Tumor invades serosa or adnexa


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Fig. 14.4
Stage IIIB (T3b, N0, M0) Carcinoma endometrium, Vaginal and/or parametrial involvement


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Fig. 14.5
Stage III C1 (T1 to T3, N1, M0) Carcinoma endometrium, Pelvic node involvement


A324345_1_En_14_Fig6_HTML.jpg


Fig. 14.6
Stage IIIC 2 (T1 to T3, N2, M0) Carcinoma endometrium, Para-aortic involvement


Stage IV (Fig. 14.7)


The cancer has spread to the urinary bladder or rectum, or to inguinal lymph nodes, and/or to distant organs, such as the bones, omentum, or lungs.

Sep 20, 2016 | Posted by in GYNECOLOGY | Comments Off on Endometrial Cancer Staging

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