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.
FIGO Stage II
The primary tumor is present only in the uterus and has extended up to the cervical connective tissue.
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).
FIGO Stage IIIB
The cancer cells have spread to the vagina or up to the 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.
FIGO Stage IIIC2
Cancer has spread to the lymph nodes along the aorta but not to the distant body parts.
FIGO Stage IVA
Cancer has spread up to the mucosa of the rectum or urinary bladder.
FIGO Stage IVB
The cancer cells have spread to distant body parts such as distant lymph nodes, lungs, bones, liver, etc.
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.
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.