Review Article

Controversies in the Management of Endometrial Cancer

Table 1

Carcinoma of the corpus uteri (FIGO 2008).

Stage I*Tumour confined to the corpus uteri.
IA*No or less than half myometrial invasion.
IB*More than half myometrial invasion.
Stage II*Tumour invades cervical stroma, but does not extend beyond the uterus.**
Stage III*Local and/or regional spread of the tumour.
IIIA*Tumor invades the serosa of the corpus uteri and/or adnexae#.
IIIB*Vaginal and/or parametrial involvement#.
IIIC*Metastases to pelvic and/or para-aortic lymph nodes#.
 IIIC1*  (i) Positive pelvic nodes
 IIIC2* (ii) Positive paraortic lymphnodes with or without positive pelvic lymphnodes.
Stage IV*Tumor invades bladder and/or bowel mucosa, and/or distant metastases.
IVA*Tumor invasion of bladder and/or bowel mucosa.
IVB*Distant metastases, including intra-abdominal metastases and/or inguinal lymph nodes.

Either G1, G2, or G3.
Endocervical glandular involvement only should be considered as Stage I and no more as Stage II.
#Positive cytology has to be reported separately without changing the stage.