Σταδιοποίηση σε Σάρκωμα Σώματος της Μήτρας

 

Σαρκώματα Σώματος Μήτρας

AJCC Stages

Stages

T

N

M

I

T1

N0

M0

IA¹

T1a

N0

M0

IB¹

T1b

N0

M0

IC²

T1c

N0

M0

II

T2

N0

M0

IIIA

T3a

N0

M0

IIIB

T3b

N0

M0

IIIC

T1, T2, T3

N1

M0

IVA

T4

Any N

M0

IVB

Any T

Any N

M1

¹Stage IA and IB differ from those applied for leiomyosarcoma and endometrial stromal sarcoma. 
²Stage IC does not apply for leiomyosarcoma and endometrial stromal sarcoma.

(T) Primary Tumor

Λειομυοσάρκωμα & Σάρκωμα Ενδομητρίου1

TNM

FIGO

Definitions

TX

 

Primary tumor cannot be assessed

T0

 

No evidence of primary tumor

T1

I

Tumor limited to the uterus

T1a

IA

Tumor ≤ 5 cm in greatest dimensions

T1b

IB

Tumor > 5 cm

T2

II

Tumor extends beyond the uterus, within the pelvis

T2a

IIA

Tumor involves adnexa

T2b

IIB

Tumor involves other pelvic tissues

T3

III²

Tumor infiltrates abdominal tissues

T3a

IIIA

1 site

T3b

IIB

> 1 site

T4

IVA

Tumor invades bladder or rectum

¹Simultaneous tumors of the uterine corpus and ovary/pelvis in association with ovarian/pelvic endometriosis should be classified as independent primary tumors. 
²In this stage lesions must infiltrate abdominal tissues and not just protrude into the abdominal cavity.

Αδενοσάρκωμα1

TX

 

Primary tumor cannot be assessed

T0

 

No evidence of primary tumor

T1

I

Tumor limited to the uterus

T1a

IA

Tumor limited to the endometrium/endocervix

T1b

IB

Tumor invades to < 1/2 of the myometrium

T1c

IC

Tumor invades ≥ 1/2 of the myometrium

T2

II

Tumor extends beyond the uterus, within the pelvis

T2a

IIA

Tumor involves adnexa

T2b

IIB

Tumor involves other pelvic tissues

T3

III²

Tumor involves abdominal tissues

T3a

IIIA

1 site

T3b

IIIB

> 1 site

T4

IVA

Tumor invades bladder or rectum

¹Simultaneous tumors of the uterine corpus and ovary/pelvis in association with ovarian/pelvic endometriosis should be classified as independent primary tumors. 
²In this stage lesions must infiltrate abdominal tissues and not just protrude into the abdominal cavity.

(N) Regional Lymph Nodes

NX

 

Regional lymph nodes cannot be assessed

N0

 

No regional lymph node metastasis

N1

IIIC

Regional lymph node metastasis

(M) Distant Metastasis

M0

 

No distant metastasis

M1

IVB

Distant metastasis (excluding adnexa, pelvic and abdominal tissues)

Χαρακτηριστικά Επέκτασης

Direct extension

  • Most common

Lymphatic spread

  • Common nodes include
    • Pelvic (N1)
    • Paraaortic (N2)
    • Inguinal nodes (less common)

Hematogenous spread

  • Lungs
  • Liver
  • Bone
  • Skin
  • Brain (uncommon)

Peritoneal spread

  • Intraperitoneal implants
  • Common in papillary serous carcinoma

Κατηγοριοποίηση (Ιστολογικοί Τύποι)

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