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FIGO et TNM – Cancer de l’endomètre

FIGO (2009) TNM (2009) Description
Stade I T1 Tumeur limitée au corps utérin
IA T1a Tumeur limitée à l’endomètre ou ne dépassant pas la moitié du myomètre
IB T1b Tumeur envahissant la moitié du myomètre ou plus de la moitié du myomètre
Stade II T2 Tumeur envahissant le stroma cervical mais ne s’étendant pas au-delà de l’utérus
Stade III T3 et/ou N1 Extensions locales et/ou régionales comme suit :
IIIA T3a Séreuse et/ou annexes
IIIB T3b Envahissement vaginal et/ou paramétrial
IIIC N1 Atteinte des ganglions lymphatiques régionaux
IIIC1 Ganglions pelviens
IIIC2 Ganglions lomboaortiques ± ganglions pelviens
Stade IV T4 et/ou M1 Extension à la muqueuse vésicale et/ou intestinale et/ou métastases à distance
IVA T4 Extension à la muqueuse vésicale et/ou intestinale
IVB M1 Métastases à distance incluant les métastases intra-abdominales et/ou ganglions inguinaux

Source : HAS 2010

FIGO 2023Description
Stade ILimité au corps utérin et à l’ovaire
IADisease limited to the endometrium OR non-aggressive histological type, i.e. low-grade endometroid, with invasion of less than half of myometrium with no or focal lymphovascular space involvement (LVSI) OR good prognosis disease
IA1 Non-aggressive histological type limited to an endometrial polyp OR confined to the endometrium
IA2 Non-aggressive histological types involving less than half of the myometrium with no or focal LVSI
IA3 Low-grade endometrioid carcinomas limited to the uterus and ovary
IBNon-aggressive histological types with invasion of half or more of the myometrium, and with no or focal LVSI
ICAggressive histological types limited to a polyp or confined to the endometrium
Stade IIInvasion of cervical stroma without extrauterine extension OR with substantial LVSI OR aggressive histological types with myometrial invasion
IIAInvasion of the cervical stroma of non-aggressive histological types
IIBSubstantial LVSI of non-aggressive histological types
IICAggressive histological types with any myometrial involvement
Stade IIILocal and/or regional spread of the tumor of any histological subtype
IIIAInvasion of uterine serosa, adnexa, or both by direct extension or metastasis
IIIA1 Spread to ovary or fallopian tube (except when meeting stage IA3 criteria) IIIA2 Involvement of uterine subserosa or spread through the uterine serosa
IIIBMetastasis or direct spread to the vagina and/or to the parametria or pelvic peritoneum
IIIB1 Metastasis or direct spread to the vagina and/or the parametriaIIIB2 Metastasis to the pelvic peritoneum
IIICMetastasis to the pelvic or para-aortic lymph nodes or both
IIIC1 Metastasis to the pelvic lymph nodesIIIC1i MicrometastasisIIIC1ii MacrometastasisIIIC2 Metastasis to para-aortic lymph nodes up to the renal vessels, with or without metastasis to the pelvic lymph nodesIIIC2i MicrometastasisIIIC2ii Macrometastasis
Stade IVSpread to the bladder mucosa and/or intestinal mucosa and/or distance metastasis
IVAInvasion of the bladder mucosa and/or the intestinal/bowel mucosa
IVBAbdominal peritoneal metastasis beyond the pelvis
IVCDistant metastasis, including metastasis to any extra- or intra-abdominal lymph nodes above the renal vessels, lungs, liver, brain, or bone

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