Carcinoma endometrium involving uterine cavity more than 10 cms long with early myometrial involvement is
Ans- The International Federation of Gynecology and Obstetrics(FIGO) staging system for carcinoma of corpus uteri is as follows:Stage IA-Tumor limited to endometrium <8 cm)Stage IB-Invasion to less than one half the myometrium (>8 cm)Stage IC-Invasion to more than one half the myometriumStage IIA-Endocervical glandular involvement onlyStage lIB-Cervical stromal invasionStage IlIA-Tumor invades serosa and/or adnexa and/or positive peritoneal cytologyStage IIIB-Vaginal metastasisStage IUC-Metastases to pelvic and/or para-aortic lymph nodesStage IVA-Tumor invasion of bladder and/or bowel mucosaStage IVB-Distant metastases including intra-abdominal and/or inguinal lymph nodesCases of carcinoma of the corpus should be classified (or graded) according to the degree of histologic differentiation. The histopathology and degree of differentiation is as follows:i. Class G1-Non squamous or non morular solid growth pattern of 5% or lessii. Class G2-Non squamous or non morular solid growth pattern of 6-50%iii. Class G3-Non squamous or non morular solid growth pattern of more than 50%Please note the new staging and use this for answering mcqsCARCINOMA OF THE ENDOMETRIUMIA Tumor confined to the uterus, no or < 1/2 myometrial invasionIB Tumor confined to the uterus, > 1/2 myometrial invasionII Cervical stromal invasion, but not beyond uterusIIIA Tumor invades serosa or adnexaIIIB Vaginal and/or parametrial involvementIIIC1 Pelvic node involvementIIIC2 Para-aortic involvementIVA Tumor invasion bladder and/or bowel mucosaIVB Distant metastases including abdominal metastases and/or inguinal lymph nodes
Stage Ia
Stage Ib
Stage IIa
Stage IIb