A patient with Ca endometrium has > 50% myometrial invasion and vaginal metastasis. Pelvic and retroperitoneal lymph nodes are not involved. Peritoneal seedings are +ve. The stage is:
FIGO Surgical Staging of Carcinoma of the Corpus Uteri: Stage I Stage Ia - Tumor limited to endometrium Stage Ib - Invasion to less than one-half the myometrium Stage Ic - Invasion to more than one-half the myometrium Stage II Stage IIa - Endocervical glandular involvement only Stage IIb - Cervical stromal invasion Stage III Stage IIIa - Tumor invades serosa and/or adnexa, and/or positive peritoneal cytology Stage IIIb - Vaginal metastases Stage IIIc - Metastases to pelvic and/or paraaoic lymph nodes Stage IV Stage IVa - Tumor invades bladder and/or bowel mucosa Stage IVb - Distant metastases including intra-abdominal and/or inguinal lymph nodes Ref: Dorigo O., Goodman A. (2007). Chapter 51. Premalignant & Malignant Disorders of the Uterine Corpus. In A.H. DeCherney, L. Nathan (Eds),CURRENT Diagnosis & Treatment Obstetrics & Gynecology, 10e.
IIIa
IIIb
IIIc1
IIIc2