Endometrial cancer staging

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]

Overview

According to the FIGO cancer staging system, there are 4 stages of endometrial cancer.

Staging

Endometrial carcinoma is surgically staged using the FIGO cancer staging system.^[1]


Stage	Findings
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 involvement and/or parametrial involvement
III C	Metastases to pelvic and/or para-aortic lymph nodes
	(i) Positive pelvic nodes
	(ii) Positive para-aortic 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 metastasis, including intra-abdominal metastases and/or inguinal nodes

References

Overview