What is the standard staging protocol in the work-up of endometrial carcinoma?
Transvaginal ultrasound is usually the first modality of investigation. Followed by pelvic/gynae MRI including dynamic contrast enhanced sequences. CT staging of the chest, abdomen and pelvis is indicated to assess for extra-pelvic disease.
What is the prognosis of stage 1a endometrial carcinoma?
Overall 5-year survival rate in women with stage 1a endometrial cancer is 95%.
What are the two main histological types of endometrial carcinoma?
Endometrioid adenocarcinomas and serous carcinomas. Endometrioid carcinomas represent ~80% of all endometrial carcinomas. Serous carcinomas are all high-grade carcinomas.
What is the standard treatment for Stage 1a endometrial carcinoma?
Total hysterectomy and bilateral saplingo-oophorectomy +/- lymphadenectomy.
There is a soft tissue mass in the endometrial cavity which demonstrates homogeneous isointense signal intensity on T2 weighted images. There is no myometrial extension. The uterine cervix and vagina are normal. The parametria are clear. Polycystic ovaries. No pelvic lymphadenopathy or omental lesions.