Carcinoma Endometrium

Stage I-Tumour limited to uterine corpus

• Stage IA: tumor limited to the endometrium
  


• Stage IB: invasion of less than half the myometrium
  


• Stage IC: invasion of more than half the myometrium
  

Stage II-Tumour confined to uterus and cervix

• Stage IIA: endocervical glandular involvement only
  


• Stage IIB: cervical stromal invasion
  

Stage III-Local spread confined to the pelvis

• Stage IIIA: tumor invades serosa or adnexa, or malignant peritoneal cytology
  


• Stage IIIB: vaginal metastasis
  


• Stage IIIC: metastasis to pelvic or para-aortic lymph nodes
  

Stage IV-Distant spread/organ invasion

• Stage IVA: invasion of the bladder or bowel
  


• Stage IVB: distant metastasis, including intraabdominal or inguinal lymph nodes
  

Key Points:

• 4 stages Stage I and III has 3 subdivisions A,B,C.
  


• LN spread mentioned only in STAGE III AND IV
  

Treatment :


Stage I and II-TAH+BSO,stage II may also need adjuvant radiotherapy


Stage III and IV-TAH+BSO+postoperative radiotherapy