Question 29 · LEK · Endometrial cancer
A 64-year-old obese female reports postmenopausal vaginal bleeding. A cytological smear was obtained and in a transvaginal ultrasound endometrial hyperplasia was found. The mucosa biopsy was performed and the histopathological diagnosis of adenocarcinoma was obtained. Pap smear was normal. The uterus with appendages was completely resected and the lymph nodes were sampled. In postoperative examination adenocarcinoma cells were found in the uterus region (no evidence of serous membrane infiltration) and in the cervical canal near the internal orifice. No evidence of adnexal infiltration or metastases to the lymph nodes was found. Indicate tumor advancement according to FIGO classification:
- A. IA.
- B. IB.
- C. II.
- D. IIIA.
- E. IIIB.
Hint
Decide which structure beyond the uterine corpus is involved, given that the serosa, adnexa and lymph nodes are free.
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