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CARCINOMA OF THE CORPUS UTERI t The FIGO staging system
FIGO Primary No evidence 0
Stage tumour cannot of primary Carcinoma in be assessed tumour situ
t American Joint Committee on Cancer surgical staging system AJCC T Stage
Tumour confined to the corpus uteri
Tumour limited to the endometrium
Tumour invades up to less than half of the myometrium
Tumour invades to more than one half of the myometrium
Tumour invades the cervix but does not extend beyond the uterus
Endocervical glandular involvement only
Normal myometrium intact uterine junctional zone
Transverse ultrasound section through the uterine body showing the endometrial cavity expanded by an echogenic endometrial carcinoma. The tumour is confined to the endometrial cavity with no extension into the myometrium.
- a) Sagittal T2-weighted MRI through the uterus showing a high-signal tumour confined to the endometrial cavity. There is no extension of the carcinoma through the surrounding low signal myometriai junctional zone
- b) Axial T2-weighted MRI through the body of the uterus in the same patient as (a) showing the high-signal endometrial carcinoma confined to the endometrial cavity and surrounded by an intact junctional zone.
Sagittal T2-weighted MRI showing an intermediate-signal endometrial carcinoma extending through the junctional zone, but invading less than one-half of the myometrium.
Sagittal T2-weighted WIRI showing an intermediate signal endometrial carcinoma extending through the junctional zone, but invading less than one-half of the myometrium.
Tumour extending into the cervical canal without invasion of the cervical stroma
Sagittal T2-weighted MRI showing an endometrial carcinoma extending into the cervical canal, but not invading the cervical stroma. The carcinoma within the body of the uterus has breached the junctional zone posteriorly.
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