uterus_labels.jpg (12854 bytes)

      Stages of Endometrial Cancer (AJCC 7th Ed here)

       Stage I - confined to the uterus
               IA - lining only or less than 50% of myometrium
               IB - 50% or deeper muscle
             
       Stage II - extending to include the stroma of the cervix

       Stage III - spread further to the vagina,ovary
                 IIIa - serosa or adnexa
                 IIIb - vagina or parametrium
                 IIIc1 - pelvic nodes
                 IIIc2 - para-arotic nodes

       Stage IV a - into bladder or rectum
                 IVb - distant metastases

     see more on older stage below and TNM stage here
   
endoemet_ca_adam.jpg (16882 bytes) Cancer of the Uterus makes up 6% of all female cancers but causes only 2% of all female cancer deaths, so it has a much better survival than other forms of cancer in women. The 5 year survival has improved from 1960 compared to 1990's, in white women from 73% to 86% and black women from 31% to 55%. For more survival data by stage go to , ACS

5 Year Survival by Stage or Grade
Stage 5 Year Survival Grade 5 Year Survival
I 82% 1 87%
II 63% 2 75%
III 44% 3 57%
IV 17%    

Survival in Stage I
Stage 5y Survival
IA 95%
IB 95%
IC 75%

5 Year Survival by SEER Stage (white women, 1989-1995 data)
Stage Incidence Survival
all 100% 86%
local 75% 96%
regional 13% 67%
distant 8% 28%

Details of the FIGO Staging System
-- Stage I --
Stage I endometrial cancer is carcinoma confined to the corpus uteri.
stage IA: tumor limited to endometrium
stage IB: invasion to less than one half of the myometrium
stage IC: invasion to greater than one half of the myometrium

-- Stage II --
Stage II endometrial cancer involves the corpus and the cervix, but has not extended outside the uterus.
stage IIA: endocervical glandular involvement only
stage IIB: cervical stromal invasion

-- Stage III --
Stage III endometrial cancer extends outside of the uterus but is confined to the true pelvis.
stage IIIA: tumor invades serosa and/or adnexa and/or positive peritoneal cytology
stage IIIB: vaginal metastases
stage IIIC: metastases to pelvic and/or para-aortic lymph nodes

-- Stage IV --
Stage IV endometrial cancer involves the bladder or bowel mucosa or has metastasized to distant sites.
stage IVA: tumor invasion of bladder and/or bowel mucosa
stage IVB: distant metastases, including intra-abdominal and/or inguinal lymph nodes

Grade
Endometrial cancer can be grouped with regard to the degree of differentiation of the adenocarcinoma, as follows:
G1: 5% or less of a nonsquamous or nonmorular solid growth pattern
G2: 6% to 50% of a nonsquamous or nonmorular solid growth pattern
G3: more than 50% of a nonsquamous or nonmorular solid growth pattern

FIGO staging for endometrial cancer:
Stage IA G123: tumor limited to endometrium
Stage IB G123: invasion to less than one half the myometrium
Stage IC G123: invasion to more than one half the myometrium
Stage IIA G123: endocervical glandular involvement only
Stage IIB G123: cervical stromal invasion
Stage IIIA G123:tumor invades serosa and/or adnexa, and/or positiveperitoneal cytology
Stage IIIB G123:vaginal metastases
Stage IIIC G123:metastases of pelvic and/or para-aortic lymph nodes
Stage IVA G123: tumor invasion of bladder and/or bowel mucosa
Stage IVB: distant metastases including intra-abdominal and/or inguinal lymph nodes