Endometrial (Uterine) Cancer Staging and Treatment

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Endometrial (Uterine) 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. 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. 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). stage 3A invades ovary

FIGO Stage IIIB

The cancer cells have spread to the vagina or up to the parametrium. 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. 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. stage 3c2, invades para-aortic lymph nodes

FIGO Stage IVA

Cancer has spread up to the mucosa of the rectum or urinary bladder. 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. stage 4b, metastasis to distant sites  

Endometrial Cancer FIGO Staging - stage I to stage IIIIb endometrial cancer figo staging - stage IIIc and stage IV

Endometrial (Uterine) Cancer Treatment

The endometrial cancer treatment depends on various factors including the type of endometrial cancer, stage of the disease, grade of the tumor, patient’s preference (for example, to retain fertility or not), performance status of the patient, along with other factors.

Non Metastatic Endometrial Cancer Treatment
Treatment for Non Metastatic Endometrial Cancer Cancer

FIGO STAGE I

In case of Stage I endometrial cancer, after hysterectomy, the patient may be kept on observation or may be given radiation therapy with/without chemotherapy depending on stage, grade and other risk factors.

FIGO STAGE II

In case of Stage II endometrial cancer, after hysterectomy, patient requires radiation therapy with/without chemotherapy in most cases.

FIGO STAGE III

In case of Stage III endometrial cancer, surgery (performed only if all cancer tissue can be removed) followed by chemotherapy and/or radiotherapy is considered as the standard treatment.

FIGO STAGE IV

In case of Stage IV endometrial cancer, hormone therapy or chemotherapy is generally considered as the standard treatment. Surgery and or radiotherapy may also be employed alongside hormone therapy or chemotherapy as palliative treatment to relieve symptoms.

metastatic endometrial cancer treatment

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