Endometrial Cancer: Stages and Subtypes
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Sign Up for FORCE NewslettersEndometrial 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
The following organizations offer peer support services for people with or at high risk for endometrial cancer:
- FORCE peer support
- Our Message Boards allow people to connect with others who share their situation. Once you register, you can post on the Diagnosed With Cancer board to connect with other people who have been diagnosed.
- Peer Navigation Program will match you with a volunteer who shares your mutation and situation.
- Private Facebook Group.
- Virtual and in-person support meetings.
- Join a Zoom community group meeting.
- SHARE is a nonprofit that provides support and information for women with breast, ovarian or endometrial cancer.
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ECANA is an online resource for Black people with endometrial cancer.