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Stage Information for Endometrial Cancer

    Definitions: FIGO

    The Féderation Internationale de Gynécologie et d'Obstétrique (FIGO) and the American Joint Committee on Cancer (AJCC) have designated staging to define endometrial cancer; the FIGO system is most commonly used.[1,2]

    Carcinosarcomas should be staged as carcinoma.[2]

    Table 1. Carcinoma of the Endometriuma

    Stage
    a Adapted from FIGO Committee on Gynecologic Oncology.[1]
    b Either G1, G2, or G3 (G = grade).
    c Endocervical glandular involvement only should be considered as stage I and no longer as stage II.
    d Positive cytology has to be reported separately without changing the stage.
    IbTumor confined to the corpus uteri.
    IAbNo or less than half myometrial invasion.
    IBbInvasion equal to or more than half of the myometrium.
    IIbTumor invades cervical stroma but does not extend beyond the uterus.c
    IIIbLocal and/or regional spread of the tumor.
    IIIAbTumor invades the serosa of the corpus uteri and/or adnexae.d
    IIIBbVaginal and/or parametrial involvement.d
    IIICbMetastases to pelvic and/or para-aortic lymph nodes.d
    IIIC1bPositive pelvic nodes.
    IIIC2bPositive para-aortic lymph nodes with or without positive pelvic lymph nodes.
    IVbTumor invades bladder and/or bowel mucosa, and/or distant metastases.
    IVAbTumor invasion of bladder and/or bowel mucosa.
    IVBbDistant metastases, including intra-abdominal metastases and/or inguinal lymph nodes.

    References:

    1. Pecorelli S: Revised FIGO staging for carcinoma of the vulva, cervix, and endometrium. Int J Gynaecol Obstet 105 (2): 103-4, 2009.
    2. Corpus uteri. In: Edge SB, Byrd DR, Compton CC, et al., eds.: AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer, 2010, pp 403-18.

      WebMD Public Information from the National Cancer Institute

      Last Updated: February 25, 2014
      This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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