Endometrial Cancer

Question 1

Endometrial Cancer Staging?

Answer 1

Positive cytology has to be reported separately without changing the stage.

Table 27.11: FIGO 2009 staging of Carcinoma Endometrium

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 and/or parametrial involvement#

IIIC*

Metastases to pelvic and/or para-aortic lymph nodes

IIIC1*

Positive pelvic nodes

IIIC2*

Positive para-aortic lymph 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 metastases including intra- abdominal metastases and/or inguinal lymph nodes

Either G1, G2 or G3.

** Endocervical glandular involvement only should be considered as Stage I and no longer as Stage II.

G1: Grade 1: ≤ 5% of a non-squamous or nonmorular solid growth pattern.

G2: Grade 2: 6-50% of a non-squamous or nonmorular solid growth pattern.

G3: Grade 3: > 50% of a non-squamous or nonmorular solid growth pattern.