Endometrial Cancer FIGO Staging System Explained

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endometrial cancer stagingIf someone is suspected to have endometrial cancer based on signs and symptoms, certain investigations are required to confirm the diagnosis of the disease. Further, these can help in determining the stage of disease, which in turn help in choosing an appropriate treatment option.

Endometrial Cancer FIGO Staging

Endometrial Cancer FIGO Staging is the most commonly used staging system for the disease. FIGO stands for International Federation of Gynecology and Obstetrics.

FIGO Stage IA

The primary tumor is limited to the endometrium or has invaded less than half of myometrium.

FIGO Stage IB

The primary tumor has invaded half or more of the myometrium.

endometrial cancer stage 1, invades myometrium

FIGO Stage II

The primary tumor is present only in the uterus and has extended up to the cervical connective tissue.

endometrial cancer stage 2, invades cervix

FIGO Stage IIIA

The cancer cells have spread to the outer surface of the uterus (serosa) or to the fallopian tube, ovary, round/broad ligament (adnexa).

endometrial cancer stage 3a, invades ovary

FIGO Stage IIIB

The cancer cells have spread to the vagina or up to the parametrium.

endometrial cancer stage 3b, invades vagina or parametrium

FIGO Stage IIIC1

Cancer has spread to pelvic lymph nodes but not to the lymph nodes along the aorta or to distant body parts.

endometrial cancer stage 3c1, invades pelvic lymph nodes

FIGO Stage IIIC2

Cancer has spread to the lymph nodes along the aorta but not to the distant body parts.

endometrial cancer stage 3c2, invades para-aortic lymph nodes

FIGO Stage IVA

Cancer has spread up to the mucosa of the rectum or urinary bladder.

endometrial cancer stage 4a, invades bladder or bowel mucosa

FIGO Stage IVB

The cancer cells have spread to distant body parts such as distant lymph nodes, lungs, bones, liver, etc.

endometrial cancer stage 4b, metastasis to distant sites

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