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Fw: Endometrial cancer stagingFrom: Redação de Obgyn.net Latina (latina@obgyn.net)Sat, 5 Oct 2002 11:13:59 -0300
>----- Original Message ----- From: Todd Tenenholz To: Multiple recipients of list FIGO Sent: Friday, October 04, 2002 9:09 AM Subject: Endometrial cancer staging I have a question involving staging of endometrial cancer. We have a patient with a history of tubal ligation. She now presents with a Grade 2 endometrioid cancer (<5% sheet like growth, but focal grade 3 cytologic features). The tumor grew in a superficial/spreading pattern, with 0.4 cm invasion of a total wall thickness of 2 cm. However, the tumor grew along the epithelial surface to involve the upper endocervical canal, and also spread superiorly to involve the epithelial surface of a proximal fallopian tube stump. All margins, including the stump, were negative. We are staging her as at least a IIA (cervical gland involvment), but the question is should she be upstaged to a IIIA based on the fallopian tube involvment? If so, would she still be expected to behave more as a IIA, since there was no path for spread from the fallopian stump? Thanks for any input. _______________________________________________________ Todd Tenenholz, MD,Ph.D. |=20 _______________________________________________________ MCV Radiation Oncology | PO Box 0058 | Richmond, Va 23298-0058 | Inet:toddt@vcu.org Inet)tctenenh@hsc.vcu.edu | Off)804-828-7232 | Pager) 804-828-4999 #7251 |
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