A 62-year-old postmenopausal woman has endometrial carcinoma (endometrioid grade 2). FIGO 2023 staging: tumour invades outer half of myometrium, cervical stromal invasion present, no adnexal or parametrial involvement, no lymphovascular space invasion (LVSI), sentinel lymph nodes negative, no distant metastases. What is her FIGO 2023 stage?

• A Stage IB
• B Stage IIC
• C Stage IIIA
• D Stage II ✓

Explanation

Under FIGO 2023 staging for endometrial carcinoma, cervical stromal invasion (previously Stage IIA in FIGO 2009) is now classified as Stage II. Outer half myometrial invasion without cervical involvement would be Stage IB. Adnexal involvement is Stage IIIA. The 2023 revision integrated molecular classification and revised stage definitions; cervical stromal involvement = Stage II regardless of myometrial depth. Negative lymph nodes ensure she does not advance to Stage IIIC.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

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