Get notified of page updates

Endometrial Cancer: Stages and Subtypes

Endometrial cancer is treated according to its stage and subtype. Learn more about the different stages and subtypes of endometrial cancer.

Stay up to date on research and information

Sign Up for FORCE Newsletters
Glossary on
off

Endometrial Cancer Stages and Subtypes

Treatment for endometrial cancer depends on the and subtype of the cancer. Treatment often includes surgery, but can also include radiation, hormone and/or chemotherapy. People with advanced cancers ( 3 or 4) may also benefit from  or . Clinical trials may be available for any  of cancer.

Stages of endometrial cancer

The  of a cancer refers to whether it has spread beyond the uterus, and if it has, the location in the body where it has spread. Measuring the  of endometrial cancer helps doctors decide how to treat it. Doctors often utilize the information from surgery to assign a , however they may also order additional tests such as chest XRAYS, chest, pelvic and abdominal CT, or PET scans to learn if the cancer has spread beyond the uterus. 

Stage
Description
Stage 1

The cancer is only in the uterus.

Stage 2

The cancer has spread to the cervix, but has not spread to any lymph nodes. 

Stage 3

The cancer has spread outside of the uterus to nearby tissue; this may include the outer lining of the uterus, the ovaries, fallopian tubes, outer lining of the rectum, and nearby lymph nodes. The cancer has not spread to distant areas such as the lung, liver, bones or distant lymph nodes.

Stage 4 (metastatic)
The cancer has spread to distant areas such as the lung, liver, bones or distant lymph nodes.
Stages of endometrial cancer

Subtypes of endometrial cancer

There are several different types of endometrial cancer, based on how the cells look under a microscope. Treatment may vary for each subtype.

Subtype
Description
endometrioid adenocarcinoma

This is the most common subtype. It can vary in aggressiveness based on grade. Grade is how aggressive tumors look under the microscope. While grade 1 endometrioid adenocarcinomas have a better prognosis, grade 3 tumors are more likely to spread and recur. Low grade tumors can respond well to hormonal therapy. This subtype can be seen with Lynch syndrome and other inherited mutations linked to endometrial cancer.

carcinosarcoma

This is a rare and aggressive type of endometrial cancer. There is a slightly increased risk for this subtype in people with a BRCA1 or BRCA2 mutation. This type of cancer may also be seen in people with Lynch syndrome and other inherited mutations. This type of cancer tends not to respond well to hormone therapy.

papillary serous carcinoma

This is a rare subtype that may be more likely to occur in people with a BRCA1 mutation. This type of cancer also is less likely to be seen in people with Lynch syndrome. This type of cancer tends not to respond well to hormone therapy.

clear cell carcinoma

This is a rare and aggressive type of endometrial cancer that does not typically respond to hormone therapy. This type of cancer may also be seen in people with Lynch syndrome and other inherited mutations.

undifferentiated or dedifferentiated endometrial carcinoma

This is a rare and aggressive type of endometrial cancer.

Subtypes of endometrial cancer

Additional tests such as  tests and genetic tests can help guide the choice of or .   


More Resources


Get Support
Get Support

The following organizations offer peer support services for people with or at high risk for endometrial cancer:

Last updated July 14, 2024