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Endometrial cancer

2,160 bytes added, 17:56, 20 October 2020
+Staging
File:Histopathology of grade 2 endometrioid endometrial adenocarcinoma with mucinous differentiation, low magnification.jpg|'''Grade 2''' (with mucinous differentiation)<ref group=notes>Mucinous endometrioid adenocarcinoma is an altered differentiation / metaplasia with intracytoplasmic mucin (intraluminal mucin pooling does not qualify).<br>- {{cite web|url=http://www.pathologyoutlines.com/topic/uterusendometrioid.html|title=Uterus - Carcinoma - Endometrioid carcinoma|author=Aarti Sharma, M.D., Ricardo R. Lastra, M.D.|website=PathologyOutlines}} Topic Completed: 3 September 2020. Minor changes: 21 September 2020</ref>
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===Staging===
If possible, perform '''staging''' by the FIGO system:<ref>{{cite web |title=Stage Information for Endometrial Cancer |url=http://www.cancer.gov/cancertopics/pdq/treatment/endometrial/HealthProfessional/page3 |publisher=[[National Cancer Institute]] |access-date=23 April 2014 |url-status=live |archive-url=https://web.archive.org/web/20140406044240/http://www.cancer.gov/cancertopics/pdq/treatment/endometrial/HealthProfessional/page3 |archive-date=6 April 2014 |date=January 1980 }}</ref><ref>{{cite web|url=https://www.ncbi.nlm.nih.gov/books/NBK525981/|title=Endometrial Cancer|author=Murray J. Casey; Garth K. Summers; David Crotzer.|website=StatPearls, [[National Center for Biotechnology Information]]}} Last Update: July 13, 2020</ref>
 
[[File:Histopathology of grade 2 endometrioid endometrial cancer with myometrial invasion.jpg|thumb|For biopsies, at least look for myometrial invasion (pictured).]]
 
{| class="wikitable"
!Stage
!Description
|-
|IA
|Tumor is confined to the uterus with less than half myometrial invasion
|-
|IB
|Tumor is confined to the uterus with more than half myometrial invasion
|-
|II
|Tumor involves the uterus and the cervical stroma
|-
|IIIA
|Tumor invades serosa or adnexa
|-
|IIIB
|Vaginal and/or parametrial involvement
|-
|IIIC1
|Pelvic lymph node involvement
|-
|IIIC2
|Para-aortic lymph node involvement, with or without pelvic node involvement
|-
|IVA
|Tumor invades bladder mucosa and/or bowel mucosa
|-
|IVB
|Distant metastases including abdominal metastases and/or inguinal lymph nodes
|}
 
===Microscopy report===
Example:
{|class=wikitable
| (Endometrium, polypectomy:)<br> Endometrial adenocarcinoma, endometrioid type, FIGO grade 2, with mucinous differentiation. Carcinoma focally invades myometrial smooth muscle.
 
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File:Histopathology of grade 2 endometrioid endometrial adenocarcinoma with mucinous differentiation, low magnification.jpg
File:Histopathology of grade 2 endometrioid endometrial adenocarcinoma with mucinous differentiation, high magnification.jpg
File:Histopathology of grade 2 endometrioid endometrial cancer with myometrial invasion.jpg
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|}
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