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Corpus Uteri Carcinoma
Maryam Rezvani, MD
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8

OVERVIEW

  • General Comments

    • Classification

      PATHOLOGY

      • Routes of Spread

        • General Features

          • Gross Pathology & Surgical Features

            • Microscopic Features

              IMAGING FINDINGS

              • Detection

                • Staging

                  • Restaging

                    CLINICAL ISSUES

                    • Presentation

                      • Cancer Natural History & Prognosis

                        • Treatment Options

                          REPORTING CHECKLIST

                          • T Staging

                            • N Staging

                              • M Staging

                                Selected References

                                1. National Cancer Institute: Endometrial cancer. http://www.cancer.gov/cancertopics/types/endometrial. Accessed June 13, 2019
                                2. Amant F et al: Cancer of the corpus uteri. Int J Gynaecol Obstet. 143 Suppl 2:37-50, 2018
                                3. Gee MS et al: Identification of distant metastatic disease in uterine cervical and endometrial cancers with FDG PET/CT: analysis from the ACRIN 6671/GOG 0233 multicenter trial. Radiology. 287(1):176-84, 2018
                                4. Lin MY et al: Role of imaging in the routine management of endometrial cancer. Int J Gynaecol Obstet. 143 Suppl 2:109-117, 2018
                                5. Amin MB et al: AJCC Cancer Staging Manual. 8th Ed. Springer New York, 2017
                                6. Atri M et al: Utility of PET/CT to evaluate retroperitoneal lymph node metastasis in high-risk endometrial cancer: results of ACRIN 6671/GOG 0233 Trial. Radiology. 283(2):450-9, 2017
                                7. Lakhani A et al: FDG PET/CT pitfalls in gynecologic and genitourinary oncologic imaging. Radiographics. 37(2):577-94, 2017
                                8. Rockall AG et al: Role of imaging in fertility-sparing treatment of gynecologic malignancies. Radiographics. 36(7):2214-33, 2016
                                9. Sadowski EA et al: Preoperative pelvic MRI and serum cancer antigen-125: selecting women with grade 1 endometrial cancer for lymphadenectomy. AJR Am J Roentgenol. 205(5):W556-64, 2015
                                10. He H et al: MRI is highly specific in determining primary cervical versus endometrial cancer when biopsy results are inconclusive. Clin Radiol. 68(11):1107-13, 2013
                                11. Nougaret S et al: Pearls and pitfalls in MRI of gynecologic malignancy with diffusion-weighted technique. AJR Am J Roentgenol. 200(2):261-76, 2013
                                12. Sala E et al: The added role of MR imaging in treatment stratification of patients with gynecologic malignancies: what the radiologist needs to know. Radiology. 266(3):717-40, 2013
                                13. Wakefield JC et al: New MR techniques in gynecologic cancer. AJR Am J Roentgenol. 200(2):249-60, 2013
                                14. Beddy P et al: FIGO staging system for endometrial cancer: added benefits of MR imaging. Radiographics. 32(1):241-54, 2012
                                15. Koskas M et al: Safety of uterine and/or ovarian preservation in young women with grade 1 intramucous endometrial adenocarcinoma: a comparison of survival according to the extent of surgery. Fertil Steril. 98(5):1229-35, 2012
                                16. Makihara N et al: Large cell neuroendocrine carcinoma originating from the uterine endometrium: a report on magnetic resonance features of 2 cases with very rare and aggressive tumor. Rare Tumors. 4(3):e37, 2012
                                17. Basu S et al: PET and PET-CT imaging of gynecological malignancies: present role and future promise. Expert Rev Anticancer Ther. 9(1):75-96, 2009
                                18. Bernardini MQ et al: Issues surrounding lymphadenectomy in the management of endometrial cancer. J Surg Oncol. 99(4):232-41, 2009
                                19. De Gaetano AM et al: Imaging of gynecologic malignancies with FDG PET-CT: case examples, physiologic activity, and pitfalls. Abdom Imaging. 34(6):696-711, 2009
                                20. Grigsby PW: Role of PET in gynecologic malignancy. Curr Opin Oncol. 21(5):420-4, 2009
                                21. Holalkere NS et al: Issues in imaging malignant neoplasms of the female reproductive system. Curr Probl Diagn Radiol. 38(1):1-16, 2009
                                22. Peungjesada S et al: Magnetic resonance imaging of endometrial carcinoma. J Comput Assist Tomogr. 33(4):601-8, 2009
                                23. Whittaker CS et al: Diffusion-weighted MR imaging of female pelvic tumors: a pictorial review. Radiographics. 29(3):759-74; discussion 774-8, 2009
                                24. Bakkum-Gamez JN et al: Current issues in the management of endometrial cancer. Mayo Clin Proc. 83(1):97-112, 2008
                                25. Selman TJ et al: A systematic review of tests for lymph node status in primary endometrial cancer. BMC Womens Health. 8:8, 2008
                                26. Sorosky JI: Endometrial cancer. Obstet Gynecol. 111(2 Pt 1):436-47, 2008
                                27. Akin O et al: Imaging of uterine cancer. Radiol Clin North Am. 45(1):167-82, 2007
                                28. Iyer RB et al: PET/CT and cross sectional imaging of gynecologic malignancy. Cancer Imaging. 7 Spec No A:S130-8, 2007
                                29. Sala E et al: MRI of malignant neoplasms of the uterine corpus and cervix. AJR Am J Roentgenol. 188(6):1577-87, 2007
                                30. Barwick TD et al: Imaging of endometrial adenocarcinoma. Clin Radiol. 61(7):545-55, 2006
                                31. Brown MA et al: MR imaging of malignant uterine disease. Magn Reson Imaging Clin N Am. 14(4):455-69, v-vi, 2006
                                32. Messiou C et al: MR staging of endometrial carcinoma. Clin Radiol. 61(10):822-32, 2006
                                33. Amant F et al: Endometrial cancer. Lancet. 366(9484):491-505, 2005
                                34. Ascher SM et al: Imaging of cancer of the endometrium. Radiol Clin North Am. 40(3):563-76, 2002
                                35. Kinkel K et al: Radiologic staging in patients with endometrial cancer: a meta-analysis. Radiology. 212(3):711-8, 1999
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                OVERVIEW

                                • General Comments

                                  • Classification

                                    PATHOLOGY

                                    • Routes of Spread

                                      • General Features

                                        • Gross Pathology & Surgical Features

                                          • Microscopic Features

                                            IMAGING FINDINGS

                                            • Detection

                                              • Staging

                                                • Restaging

                                                  CLINICAL ISSUES

                                                  • Presentation

                                                    • Cancer Natural History & Prognosis

                                                      • Treatment Options

                                                        REPORTING CHECKLIST

                                                        • T Staging

                                                          • N Staging

                                                            • M Staging

                                                              Selected References

                                                              1. National Cancer Institute: Endometrial cancer. http://www.cancer.gov/cancertopics/types/endometrial. Accessed June 13, 2019
                                                              2. Amant F et al: Cancer of the corpus uteri. Int J Gynaecol Obstet. 143 Suppl 2:37-50, 2018
                                                              3. Gee MS et al: Identification of distant metastatic disease in uterine cervical and endometrial cancers with FDG PET/CT: analysis from the ACRIN 6671/GOG 0233 multicenter trial. Radiology. 287(1):176-84, 2018
                                                              4. Lin MY et al: Role of imaging in the routine management of endometrial cancer. Int J Gynaecol Obstet. 143 Suppl 2:109-117, 2018
                                                              5. Amin MB et al: AJCC Cancer Staging Manual. 8th Ed. Springer New York, 2017
                                                              6. Atri M et al: Utility of PET/CT to evaluate retroperitoneal lymph node metastasis in high-risk endometrial cancer: results of ACRIN 6671/GOG 0233 Trial. Radiology. 283(2):450-9, 2017
                                                              7. Lakhani A et al: FDG PET/CT pitfalls in gynecologic and genitourinary oncologic imaging. Radiographics. 37(2):577-94, 2017
                                                              8. Rockall AG et al: Role of imaging in fertility-sparing treatment of gynecologic malignancies. Radiographics. 36(7):2214-33, 2016
                                                              9. Sadowski EA et al: Preoperative pelvic MRI and serum cancer antigen-125: selecting women with grade 1 endometrial cancer for lymphadenectomy. AJR Am J Roentgenol. 205(5):W556-64, 2015
                                                              10. He H et al: MRI is highly specific in determining primary cervical versus endometrial cancer when biopsy results are inconclusive. Clin Radiol. 68(11):1107-13, 2013
                                                              11. Nougaret S et al: Pearls and pitfalls in MRI of gynecologic malignancy with diffusion-weighted technique. AJR Am J Roentgenol. 200(2):261-76, 2013
                                                              12. Sala E et al: The added role of MR imaging in treatment stratification of patients with gynecologic malignancies: what the radiologist needs to know. Radiology. 266(3):717-40, 2013
                                                              13. Wakefield JC et al: New MR techniques in gynecologic cancer. AJR Am J Roentgenol. 200(2):249-60, 2013
                                                              14. Beddy P et al: FIGO staging system for endometrial cancer: added benefits of MR imaging. Radiographics. 32(1):241-54, 2012
                                                              15. Koskas M et al: Safety of uterine and/or ovarian preservation in young women with grade 1 intramucous endometrial adenocarcinoma: a comparison of survival according to the extent of surgery. Fertil Steril. 98(5):1229-35, 2012
                                                              16. Makihara N et al: Large cell neuroendocrine carcinoma originating from the uterine endometrium: a report on magnetic resonance features of 2 cases with very rare and aggressive tumor. Rare Tumors. 4(3):e37, 2012
                                                              17. Basu S et al: PET and PET-CT imaging of gynecological malignancies: present role and future promise. Expert Rev Anticancer Ther. 9(1):75-96, 2009
                                                              18. Bernardini MQ et al: Issues surrounding lymphadenectomy in the management of endometrial cancer. J Surg Oncol. 99(4):232-41, 2009
                                                              19. De Gaetano AM et al: Imaging of gynecologic malignancies with FDG PET-CT: case examples, physiologic activity, and pitfalls. Abdom Imaging. 34(6):696-711, 2009
                                                              20. Grigsby PW: Role of PET in gynecologic malignancy. Curr Opin Oncol. 21(5):420-4, 2009
                                                              21. Holalkere NS et al: Issues in imaging malignant neoplasms of the female reproductive system. Curr Probl Diagn Radiol. 38(1):1-16, 2009
                                                              22. Peungjesada S et al: Magnetic resonance imaging of endometrial carcinoma. J Comput Assist Tomogr. 33(4):601-8, 2009
                                                              23. Whittaker CS et al: Diffusion-weighted MR imaging of female pelvic tumors: a pictorial review. Radiographics. 29(3):759-74; discussion 774-8, 2009
                                                              24. Bakkum-Gamez JN et al: Current issues in the management of endometrial cancer. Mayo Clin Proc. 83(1):97-112, 2008
                                                              25. Selman TJ et al: A systematic review of tests for lymph node status in primary endometrial cancer. BMC Womens Health. 8:8, 2008
                                                              26. Sorosky JI: Endometrial cancer. Obstet Gynecol. 111(2 Pt 1):436-47, 2008
                                                              27. Akin O et al: Imaging of uterine cancer. Radiol Clin North Am. 45(1):167-82, 2007
                                                              28. Iyer RB et al: PET/CT and cross sectional imaging of gynecologic malignancy. Cancer Imaging. 7 Spec No A:S130-8, 2007
                                                              29. Sala E et al: MRI of malignant neoplasms of the uterine corpus and cervix. AJR Am J Roentgenol. 188(6):1577-87, 2007
                                                              30. Barwick TD et al: Imaging of endometrial adenocarcinoma. Clin Radiol. 61(7):545-55, 2006
                                                              31. Brown MA et al: MR imaging of malignant uterine disease. Magn Reson Imaging Clin N Am. 14(4):455-69, v-vi, 2006
                                                              32. Messiou C et al: MR staging of endometrial carcinoma. Clin Radiol. 61(10):822-32, 2006
                                                              33. Amant F et al: Endometrial cancer. Lancet. 366(9484):491-505, 2005
                                                              34. Ascher SM et al: Imaging of cancer of the endometrium. Radiol Clin North Am. 40(3):563-76, 2002
                                                              35. Kinkel K et al: Radiologic staging in patients with endometrial cancer: a meta-analysis. Radiology. 212(3):711-8, 1999