Making an educated treatment decision begins with the stage, or progression, of your uterine cancer. Using the results from your diagnostic tests, your care team at Cancer Treatment Centers of America® (CTCA) will develop an appropriate treatment plan for you.
If you have been recently diagnosed, we will review your pathology to confirm you have received the correct diagnosis and staging information, and develop a personalized treatment plan. If you have a recurrence, we will perform comprehensive testing and identify a treatment approach that is suited to your needs.
Uterine cancer is staged using the American Joint Committee on Cancer TNM system:
T (tumor) This describes the size of the original tumor.
N (node) This indicates whether the cancer is present in the lymph nodes.
M (metastasis) This refers to whether cancer has spread to other parts of the body, usually the liver, bones or brain.
Once the T, N and M scores have been assigned, an overall stage is assigned.
The International Federation of Gynecology and Obstetrics has a similar staging system known as FIGO. Unlike the TNM system, the FIGO system does not include stage 0.
Stage 0: This stage is also known as carcinoma in-situ. Cancer cells are only found in the surface layer of cells of the endometrium, without growing into the layers of cells below. The cancer has not spread to nearby lymph nodes or distant sites. This is a pre-cancerous lesion. This stage is not included in the FIGO staging system.
Stage I (stage 1 uterine cancer): The cancer is only growing in the body of the uterus. It may also be growing into the glands of the cervix but is not growing into the supporting connective tissue of the cervix. The cancer has not spread to lymph nodes or distant sites. This stage has two subcategories:
Stage II (stage 2 uterine cancer): The cancer has spread from the body of the uterus and is growing into the supporting connective tissue of the cervix (called the cervical stroma). The cancer has not spread outside of the uterus. The cancer has not spread to lymph nodes or distant sites.
Stage III (stage 3 uterine cancer): The cancer has either spread outside of the uterus or into nearby tissues in the pelvic area. This stage has four subcategories:
Stage IV (stage 4 uterine cancer): The cancer has spread to the inner surface of the urinary bladder or the rectum (lower part of the large intestine), to lymph nodes in the groin, and/or to distant organs, such as the bones, omentum or lungs. Stage IV uterine cancer has two subcategories:
Next topic: How is uterine cancer diagnosed?