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3. Endometrium

Revised 26 July 2011

Approximate Five Year Survival by Surgical Stage/Sub-stage [REVISED FIGO STAGE 2009]
(corrected to exclude death from intercurrent disease)

FIGO

% PTS

5 YR OS

0

Carcinoma in situ (preinvasive carcinoma)

I

Tumour confined to the corpus uteri

IA

None or less than half myometrial invasion

56%

90%

IB

Invasion ≥ half of the myometrium

20%

81%

II

Invades into cervical stroma

7%

67%

III

Local and/or regional spread as specified in IIIA, B, C

IIIA

Tumour involves serosa of corpus uteri or adnexae

8%

60%

IIIB

Vaginal or parametrial involvement or pelvic peritoneum

2%

41%

IIIC

Metastasis to pelvic and/or para-aortic lymph nodes

4%

32%

C1

Positive pelvic nodes

C2

Positive para-aortic nodes

IVA

Tumour invades bladder mucosa and/or bowel mucosa

1%

20%

IVB

Distant

3%

5%

Changes from Previous System:

1: IA/IB amalgamated to form IA

2: Cervical glandular involvement is no longer stage II

3: Peritoneal cytology no longer included in staging system

4: Subdivide into pelvic nodes alone or involved para-aortics

NB: Omentum = IVB

It should be noted that these figures are approximations of five-year survival data collected from large numbers of patients within a given stage (FIGO data). Caution should be used in attempting to use these data to assign prognosis in an individual case as outcomes within these substages will worsen with worsening grade and aggressive histologies ie papillary serous and MMMT.