This is carried out to help the surgeons and the oncolgists to decide what treatment may be necessary.
If surgery is required, then it will happen in the week or two after surgery and is a very anxious time for patients who wait to know if other treatment is to be planned.
It is divided into four stages:
Stage 1 Womb cancers are in the womb . This stage is divided into 3.
1A the cancer is in the lining of the womb-the endometrium
1B the cancer has grown into the muscle of the womb, but not more than half way
1C The cancer has grown more than half way into the muscle of the womb
Stage 2 The cancer has spread to the Cervix and this stage is divided into 2.
2A The cancer has grown into the glands covering the cervix
2B The cancer has grown into the muscle
Stage 3 The cancer is more advanced but is contained within the pelvis. This stage is divided into 3.
3A The cancer has grown towards the ovaries or cancer cells have spread to the abdomen
3B The cancer has spread down the vagina
3C The cancer has spread into the lymph nodes nearby
Stage 4 The cancer has spread beyond the womb into the surrounding organs. This stage is divided into 2.
4A The cancer has spread to the bowel or bladder
4B the cancer has spread to other parts of the body such as lungs, bone or brain. This is metastatic womb cancer
*It is possible for the cancer to recur and this is known as recurrent endometrial cancer.
Grading refers to the way the cancer cells appear under the microscope. There are three grades:
Grade 1 low grade
Grade 2 moderate grade
Grade 3 High grade