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Endometrial cancer classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Roukoz A. Karam, M.D.[2]

Overview

Endometrial cancer may be classified according to histology into either type I comprising 80% of endometrial cancers or type II accounting for around 20%.

Classification

Endometrial cancer may be classified according to histology into 2 types:[1]

Type Histology Prognosis Pathogenesis Prevalence
Type I Endometroid (adenocarcinoma) Favorable (estrogen-responsive) • May arise from atypical hyperplasia
• Linked to unopposed estrogen stimulation
80%
Type II • Endometroid
• Serous
• Clear cell
• Mucinous
• Squamous
• Mesonephric
• Undifferentiated
Typically bad prognosis • Develops from atrophic endometrium
• Not linked to hormonally driven pathogenesis
15-20%

References

  1. Bokhman JV (1983). “Two pathogenetic types of endometrial carcinoma”. Gynecol Oncol. 15 (1): 10–7. PMID 6822361.


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