It is a malignant tumour that starts in the cells of the uterus. There are several reasons why you might not have surgery, including: You might have radiotherapy, chemotherapy, hormone therapy or a combination of these treatments. This is based on factors like cancer’s size and how much it’s spread already. Always consult a medical provider for diagnosis and treatment. Sometimes even when the peritoneal cancer is advanced there may be no symptoms. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Stage IV (stage 4 uterine cancer): The cancer has spread to the inner surface of the urinary bladder or the rectum (lower part of the large intestine), to lymph nodes in the groin, and/or to distant organs, such as the bones, omentum or lungs. Stage 4 is a dangerous stage. Stage I: The cancer is found only in the uterus or womb, and it has not spread to other parts of the body. Pain in the pelvis and pain during intercourse are also symptoms of uterine cancer. If you have already gone through menopause and experience vaginal bleeding, talk to your doctor as soon as possible. Diagnosis - Stage 4 Uterine Cancer. abnormal vaginal bleeding (most common symptom), vaginal discharge, pain with urination and/or sex, and; pelvic pains. Most women with uterine cancer, around 92 percent, have endometrial cancer, or a tumor that develops in the tissues of the uterine lining, called the endometrium.The other primary type, uterine sarcoma, is rare and forms in the muscles or other tissues of the uterus. At stage 4 uterine cancer lungs, liver and bones are also affected. The cancer starts in the squamous cells, which line the outside of the uterus. Once the surgery is conducted which is known as hysterectomy, the treatment needs to be continued in order to prevent recurrence and also to remove any cancer cells that might still be present after the surgery has been done. Pelvic pain and/or a mass Medical Reviewer: William C. Lloyd III, MD, FACS. Less common symptoms include unexplained weight loss, difficulty urinating, or … She has extensive experience writing about health issues like sepsis, cancer, mental health issues, and women’s health. Having knowledge about this cancer can give you tips on how to prevent it. There are many survivors of stage 4 uterine cancer and I'm sure some of our ladies will be along shortly to tell you about their journey. What are the signs and symptoms of uterine sarcoma? It helps determine how serious the cancer is and how best to treat it. A uterine cancer diagnosis. All results were negative. Uterine sarcoma accounts for another 5% of uterine cancers. The stage of your cancer helps your doctor to decide which treatment you need. Lower abdominal pain or cramping in the pelvis area. COVID-19 can affect anyone, but if you have CLL, you need to be extra mindful during this time. Here, the cancer has metastasized far beyond the ovaries and/or fallopian tubes. The most common uterine cancer symptoms are: Irregular vaginal bleeding; Heavier or longer than normal menstrual periods; Vaginal bleeding after menopause; Pain or discomfort in the pelvic area; Women who experience these signs should see their doctor for testing, to rule out uterine cancer or to diagnose it as early as possible. These women have uterine cancer with metastasis—meaning the cancer has spread. Stage III - The cancer has spread from the area around the pelvis and into the peritoneal cavity. Often, women may think their symptoms are caused by something else, so diagnosis is delayed. By far the more common type is endometrial cancer, or cancer of the uterine lining (the endometrium). Cancer of the corpus uteri (FIGO Cancer Report 2018), International Journal of Gynaecology and Obstetrics vol 143 Supplement 2): pages 37–50, ESMO-ESGO-ESTRO Consensus Conference on Endometrial Cancer: diagnosis, treatment and follow-up, BGCS Uterine Cancer Guidelines: Recommendations for Practice. Learn more about the different types of uterine cancer and how it is staged. This is known as a recurrence. Any abnormal discharge should be checked by a health care professional. Uterine cancer is diagnosed usually with a pelvic exam, Pap test, ultrasound, and biopsy. 93 percent of women with progesterone levels higher than 100 were disease free 3 years later compared to only 36 percent with levels lower than 100. Stage IV B uterine cancer means the cancer has reached to lymph nodes and also towards other body parts such as the lungs, liver, bones and brain (called as secondary cancers or metastatic cancers). Unusual vaginal bleeding is the most common symptom of uterine cancer, particularly any bleeding after menopause. Examining the pelvis. During stage 3 uterine cancer symptoms typically occur more. When breast cancer reaches stage 4, it will have spread from the breast to other parts of the body. The FIGO system is used to stage endometrial carcinoma, uterine carcinosarcoma and uterine sarcoma. The 4 stages in ovarian cancer are - Stage I - The cancer is still only in the ovaries and hasn’t begun to spread to the other areas. Other signs and symptoms of uterine cancer include: unusual vaginal discharge, which can … Here are the five cancers with the best survival rates. She had bleeding in Sept/Oct , had a pelvic mri, intravaginal ultrasound and endometrial biopsy. Uterine cancer symptoms Unusual vaginal bleeding is the most common symptom of uterine cancer, particularly any bleeding after menopause. Cancer of the uterus is the fourth most common cancer among women in the United States. Common uterine cancer indications may include: * Unusual vaginal bleeding or discharge * Difficult or pain urination * Pain during intercourse * Pain in the pelvic area. Less common symptoms include unexplained weight loss, difficulty urinating, or abdominal pain. Endometrial (Uterine) Cancer Starting in the lining of a womans uterus, endometrial cancer is caused when your body has a hormonal imbalance. Overall, taking all stages into account, more than 75 of every 100 women diagnosed with endometrial cancer in England and Wales will live 10 years or more after being diagnosed. Any patient at this stage will always experience the signs and symptoms of uterine cancer. Malignant means that it can invade, or grow into, and destroy nearby tissue. It is now three years later and right now I am fine. The stage determines the type of treatment women receive. Papillary serous carcinoma affects about 5% of women with uterine cancer. For example, if the 5-year relative survival rate for a specific stage of endometrial cancer is It was stage 1 A. Can stage 4 endometrial cancer be cured? The last stage of uterine sarcoma is also broken down into two sub-stages 1. Abramson Cancer Center; Penn Medicine. Once your cancer has been diagnosed, your doctor works to determine the extent (stage) of your cancer. It is not possible to cure it. Women diagnosed with stage III or IV uterine cancer have between 10% and 60% five-year survival rate. The stage of uterine cancer is an important piece of information in treatment decisions. During a pelvic exam, your doctor carefully inspects the outer portion of your genitals (vulva), and then inserts two fingers of one hand into your vagina and simultaneously presses the other hand on your abdomen to feel your uterus and ovaries. Uterine cancer is the fourth most common cancer for women in the United States, according to the Center for Disease Control and Prevention. Although the cancer can recur anywhere, common areas of recurrence include the abdominal cavity, lymph nodes, lung and vagina. And your doctor might suggest you take part in clinical trial. Q: What are the symptoms of end stage endometrial cancer? She told us "atypical" cells appeared un uterus, but carcinoma showed on vagina biopsy and still called it stage IV uterine cancer. professional. Soft tissue sarcoma is not as well known as most other cancers. A discharge is most often a sign of infection or another non-cancer condition, but it also can be a sign of cancer. This includes a change in menstruation (heavier periods, periods that last longer or periods that occur more often than normal), bleeding between periods, bleeding after menopause or spotting. In most cases, the possibility of uterine sarcoma is suggested by certain symptoms. So if you have a family history, tell your doctor and ask if you should have special tests to find anything early.” —Eileen A., Cervical and Uterine Cancer Survivor Age at diagnosis: 64. The most common symptom of uterine cancer is abnormal vaginal bleeding. It can also spread, or metastasize, to other parts of the body. Stage IVA cancer has invaded the bladder and/or bowel and IVB disease has spread to distant locations in the body. It most commonly occurs in women who are going through, or who have gone through, menopause. Treatment also depends on: Depending on how far your cancer has spread, it may be possible to remove as much of the cancer as possible. © Copyright 2020 Healthgrades Operating Company, Inc. Patent US Nos. Types of Uterine Cancer. Once the cancer has been diagnosed, additional tests including computerized tomography, x-rays, and blood analysis are used to stage the disease. The overall survival rate for uterine cancer is 65% after five years. That’s when I had a diagnostic bilateral mammogram and an abdominal ultrasound. The symptoms of stage 4 bladder cancer include tiredness, weakness, and pain. Types of uterine cancer. What are the symptoms of stage 4 uterine cancer? Symptoms of peritoneal cancer depend on the type and stage of the cancer. The speculum open… When you have too much of the hormone estrogen relative to the hormone progesterone, the lining of the uterus grows too thick and allows tumors to grow. Furthermore, there are two subtypes of stage 4 uterine cancer. Stage 1 is the first one and Stage 4 is the most serious one. The content on Healthgrades does not provide medical advice. Sign up for our free "Health Living News". Often the stages 1 to 4 are written as the Roman numerals I, II, III and IV. One-year net survival for uterine cancer is highest for patients diagnosed at Stage 1, and lowest for those diagnosed at Stage 4, as 2013-2017 data for England show. After completing a radical hysterectomy, it was determined that I had stage 4 uterine cancer that had migrated to my liver and peritoneum. Stage 4 Stage 4 means the cancer has spread to another area of the body. Endometrial cancer, or endometrial adenocarcinoma, is the most common type of uterine cancer. “I had a family history of cervical and uterine cancers but I didn’t get checked until I had symptoms. Many
Endometrial cancer is a type of cancer that begins in the uterus. The most common uterine cancer symptoms are: Women who experience these signs should see their doctor for testing, to rule out uterine cancer or to diagnose it as early as possible. Can stage 4 endometrial cancer be cured? Other health conditions can cause the same symptoms as uterine cancer. You can start with the top things some of the country's leukemia experts want you to know. An accurate soft tissue diagnosis is the first step toward finding effective treatment to manage disease progression. Cancer cells may have made their way to the abdomen at this stage. Stage 4A uterine cancer; Stage 4B uterine cancer; Stage IV A uterine cancer means the cancer has developed in the bowel and bladder. 7,752,060 and 8,719,052. These are both factors that affect the stage the person is in when diagnosed. Endometrial cancer is a type of cancer that begins in the uterus. Feast on these 10 healthy choices to reduce your risk. Some women experience a watery discharge, which may have an offensive smell. Other allied health professionals- such as social workers, pharmacists and counsellors. Uterine Cancer Symptoms – living with stage 4 uterine cancer Uterine cancer evidences are not something that should be overlooked. Uterine cancer can cause different signs and symptoms as the cancer grows. Stage IV (stage 4 uterine cancer): The cancer has spread to the inner surface of the urinary bladder or the rectum (lower part of the large intestine), to lymph nodes in the groin, and/or to distant organs, such as the bones, omentum or lungs. In fact, they are more often caused by something else, such as non-cancerous changes in the uterus (like fibroids), pre-cancerous overgrowth of the endometrium, or endometrial carcinoma . What you eat may help remedy the side effects of cancer treatment. Third Party materials included herein protected under copyright law. Learn how the stage and grade of the tumor may determine your treatment. For uterine cancer, the staging system developed by the International Federation of Obstetrics and Gynecology (FIGO) is used. Stage II - The cancer has spread outside the ovaries to the area around the hip bones. Stage III: the cancer has spread beyond the uterus and cervix but is still contained within the pelvis. A uterine cancer diagnosis. Stage 4 is the most advanced stage of cancer. Before making treatment decisions, make sure you understand your type and stage of cancer and the benefits and risks of specific treatments for that type and stage (also based on your age and pre-existing conditions). During that same time period, uterine cancer diagnoses in Black women increased by 2% each year. Uterine Cancer. The cancer has spread to lymph nodes around the aorta (peri-aortic lymph nodes) but not to distant sites. The American Cancer Society gives us the following warning signs for cervical cancer (directly quoted): If you are currently experiencing evidences that are associated with uterine cancer, you need to seek the help of a medical. My symptoms went on for at least three months, until I had my annual checkup. Endometrial cancer begins in the layer of cells that form the lining (endometrium) of the uterus. The most common uterine cancer symptoms are: Women who experience these signs should see their doctor for testing, to rule out uterine cancer or to diagnose it as early as possible. Final stage endometrial cancer is fatal. Tests and procedures used to diagnose endometrial cancer include: 1. What you eat may help remedy the side effects of cancer treatment. Few patients are cured with current standard treatments. Uterine cancer stage 3 is divided into substages 3A, 3B, and 3C based on how far the cancer has moved into the pelvic area. Uterine cancer stages are divided into 4 main stages. The internet information is very outdated. One important study reported that progesterone receptor levels are the single most important fact in determining the 3 year survival rate for women with stage 1 and 2 endometrial cancer. Stage 4A uterine cancer; Stage 4B uterine cancer; Stage IV A uterine cancer means the cancer has developed in the bowel and bladder. Uterine cancer evidences usually pass after menopause. Staging . Women with early stage uterine cancer may be candidates for a trial as well. For these types of uterine cancer, there are 4 stages. Stage III uterine cancer extends outside the uterus, but remains confined to the pelvis. That’s when I had a diagnostic bilateral mammogram and an abdominal ultrasound. Doctor answers on Symptoms, Diagnosis, Treatment, and More: Dr. Biermann on stage 4 uterine cancer: Stage 4 means that the cancer has spread to the bladder and/or bowel (4a) or it has spread to other parts of the body beyond the pelvis (4b). Stage 1 uterine cancer and stage 2 uterine cancer … Endometrial cancer is sometimes called uterine cancer. The uterus is the hollow, pear-shaped pelvic organ where fetal development occurs. Two days later they called us and told us it was stage IV uterine and to get to Boston asap. Surgery (hysterectomy or removal of more organs) is part of uterine cancer treatment in most cases. foods contain cancer-fighting chemicals you can't get from a dietary
Uterine cancer (also called endometrial cancer) is a serious condition that affects millions of women annually. The first subtype is the condition wherein the cancer mainly affects the bladder or the bowel. The cancer has spread to lymph nodes around the aorta (peri-aortic lymph nodes) but not to distant sites. We think it is stage IVB as the catscan and xray show it may have spread to the lungs. They're the same as stage III. Cancer, also called malignancy, is an abnormal growth of cells. If you have already gone through menopause and experience vaginal bleeding, speak to your doctor as soon as possible. A follow up course of chemotherapy was prescribed. Stage IV: the cancer has spread to areas outside the pelvis, including the bladder, abdomen, and groin. This means performing tests to check for or rule out conditions like endometriosis, fibroids, adenomyosis, atrophic vaginitis, endometrial atrophy, endometrial hyperplasia, and endometrial/cervical polyps. The radiologist said he didn’t like the results. In most cases of metastatic endometrial cancer (or metastatic endometrial carcinoma), the cancer has spread too far for it all to be removed with surgery or any other way. The other subtype is where the cancer has spread to other parts. Vaginal bleeding or spotting in post-menopausal women, even a small amount. Some women experience a watery discharge, which may have an offensive smell. Experts estimate that more than 65,000 women will be diagnosed with uterine cancer in 2020. What you will learn here are general symptoms of uterine cancer as well as treatments. Share Your Story. Treatment. Vaginal bleeding that is not part of a regular period is one of the first symptoms of uterine cancer. Search our clinical trials database for all cancer trials and studies recruiting in the UK, Questions about cancer? Uterine Cancer Symptoms – is stage 4 uterine cancer curable. If caught early, most cases of uterine cancer are very curable. Uterine sarcoma, which develops in the muscles and supportive tissues of the uterus, is less common and affects approximately five percent of women diagnosed with uterine cancer. Stage 4 is a dangerous stage. He or she also inserts a device called a speculum into your vagina. The stage is one of the most important factors in deciding how to treat the cancer and determining how successful the treatment might be. Common Uterine Cancer Symptoms. Stage IV B uterine cancer means the cancer has reached to lymph nodes and also towards other body parts such as the lungs, liver, bones and brain (called as secondary cancers or metastatic cancers). My gynecologist took my symptoms seriously and so it was early. The following symptoms might occur with uterine cancer or other conditions: Vaginal bleeding between normal periods in pre-menopausal women. About Cancer generously supported by Dangoor Education since 2010. Tests used to determine your cancer's stage may include a chest X-ray, a computerized tomography (CT) scan, positron emission tomography (PET) scan and blood tests. Here are a few steps you can take to help your doctor detect it as soon as possible. If you have already gone through menopause and experience vaginal bleeding, talk to your doctor as soon as possible. Cancer cells in new parts of the body can cause a wide variety of symptoms. Lymph nodes may also be cancerous, but there is no spread to distant organs. Help yourself stay safe and healthy with this information. In its early stages, there may be no symptoms. Vaginal bleeding that is not part of a regular period is one of the first symptoms of uterine cancer. Stage IV uterine cancer involves the bladder, bowel or distant locations in the body. Symptoms. So if you think something is wrong get the doctor to do the tests. Stage 4 uterine cancer involves the bladder, bowel, or distant locations in the body and often requires more than one therapeutic approach. For women with endometrial cancer the cancer may return after primary treatment. About 10% of women with uterine sarcomas have a vaginal discharge that does not have any visible blood. That means that five years after diagnosis, 65% of the women are alive. It should never be ignored. These symptoms don't always mean that a woman has uterine sarcoma. With a little research and understanding of the risks and warning signs, you can recognize the symptoms of uterine cancer. It is diagnosed in 80 to 90% of women with uterine cancer. Stage IV uterine cancer survivor: ‘Don’t give up hope’ ... My symptoms went on for at least three months, until I had my annual checkup. There are more than 100 types of cancer, including breast cancer, skin cancer, lung cancer, colon cancer, prostate cancer, and lymphoma. The uterus is the hollow, pear-shaped pelvic organ where fetal development occurs.Endometrial cancer begins in the layer of cells that form the lining (endometrium) of the uterus. Common signs and symptoms of uterine cancer are. I am grateful for every day. Stage IV. In Stage IIIA, the cancer has spread to one or more of these areas: the outer layer of the uterus, tissues around the uterus, or the peritoneum, which is the lining on the abdominal wall. There is also a pain felt during urination and sexual intercourse at this stage. Call freephone 9 to 5 Monday to Friday or email us, 4A means the cancer has grown into the bowel or bladder, 4B means the cancer has spread to lymph nodes further away or to other parts of the body, such as the lungs, liver, bones or brain (secondary cancers or metastases), how the cancer is likely to behave (the grade), it has spread to areas further away in your body, such as the liver and lungs. supplement. for topic: Stage 4 Uterine Cancer Uterine cancer can be difficult to diagnose. A relative survival rate compares women with the same type and stage of endometrial cancer to women in the overall population. It is called endometrial cancer because it affects the cells that make the innermost uterine lining, the endometrium. It most commonly occurs in women who are going through, or who have gone through, menopause. There are three rarer forms of uterine cancer: Adenosquamous carcinoma occurs in about 10% of cases. Around 15 out of 100 women diagnosed with Stage 4 cancer will be alive after five years. Stage II: the cancer has spread to the cervix. Uterine cancer diagnosed in stage I or II has a five-year survival rate of 70 to 95%. The final determination of your cancer's stage may not be made until after you undergo surgery to treat your cancer. Endometrial cancer is sometimes called uterine cancer. It is estimated that 12,590 deaths from this disease will occur this year. If you have already gone through menopause and experience vaginal bleeding, talk to your doctor as soon as possible. Vaginal bleeding that is not part of a regular period is one of the first symptoms of uterine cancer. But there are ways to help ease the symptoms. The most common staging system for uterine cancer is the FIGO system. All cases of uterine cancer are assigned a stage depending on how far they progressed. Hi, my mom was diagnosed with stage IV uterine cancer, (adenocarcinoma), just last week. The stages of uterine sarcoma are: Stage I: the cancer is in the uterus only. It scares all of us and you will get much better information here. Endometrial cancer stages range from stage I (1) through IV (4). However, symptoms may also occur around the same era that menopause begins. Survival for uterine cancer is strongly related to stage of the disease at diagnosis. The stage of a cancer describes the amount of cancer in the body. My only symptoms of uterine cancer were 2 mm spots of blood. Stay up-to-date on the latest health related news, Back and Neck Surgery (Except Spinal Fusion), Kaposi's Sarcoma: Causes, Symptoms & Treatment, 8 Surprising Facts About Soft Tissue Sarcoma, What to Expect After a Soft Tissue Sarcoma Diagnosis, 8 Things Doctors Want You to Know About Leukemia, Coronavirus: What CLL Leukemia Patients Need to Know, Advanced Breast Cancer: MaryAnne's Story, What to Expect After a Leukemia Diagnosis, Don't Ignore the Early Signs of Ovarian Cancer, Papillary serous carcinoma, also called uterine serous adenocarcinoma, Heavier or longer than normal menstrual periods. If you are currently experiencing indications that are associated with uterine cancer, you need to seek the help of a medical Stage 4: the cancer has spread further around the body. This board has a very calming effect on us. Diagnostic tests include: Because symptoms of uterine cancer can also be symptoms of other conditions, your healthcare provider is likely to take a differential diagnosis approach. The American Cancer Society describes Stage IVA uterine sarcoma as cancer that has spread to the rectum or bladder 3 4. Get an overview of Kaposi's sarcoma, including what Kaposi's sarcoma lesions look like, symptoms, causes, and available treatments. The most common type of uterine cancer is endometrial cancer, cancer that affects the uterine lining. The radiologist said he didn’t like the results. Thin white or clear discharge in post-menopausal women. In uterine cancer stage 3, the disease has spread beyond the uterus and cervix but not the pelvis. She is 66yrs old and otherwise healthy. Uterine cancer diagnosed in stage I or II has a five-year survival rate of 70 to 95%. FIGO stages for uterine adenocarcinomas The stage provides a common way of describing the cancer, enabling doctors to work together to plan the best treatments. Most women with uterine cancer, around 92 percent, have endometrial cancer, or a tumor that develops in the tissues of the uterine lining, called the endometrium.The other primary type, uterine sarcoma, is rare and forms in the muscles or other tissues of the uterus. Each stage also has subdivided types. One-year net survival by stage. I knew post-menopausal bleeding is never good. It is diagnosed in more women than ever before and the numbers continue to rise. Most cases of uterine cancer are diagnosed in the later stages and hence surgical removal of the entire or part of the reproductive organ becomes necessary. Stage 4 is a dangerous stage. Privacy Policy | Advertising Policy | Cookie Policy | Privacy Preferences Center | Do Not Sell My Personal Information. We know it’s a worrying time for people with cancer, we have information to help. FIGO stages for uterine adenocarcinomas. Uterine cancer evidences are not something that should be overlooked. In Stage IIIB uterine sarcoma, the cancer has spread to lymph nodes in the pelvis and/or near the uterus 2 3 4. All Rights Reserved. If you’re just learning about this cancer, here are some soft tissue sarcoma facts that may surprise you. Older, postmenopausal women are at higher risk than younger women who still get their periods. What you eat may help remedy the side effects of cancer treatment. You may also have symptoms in the areas where the cancer has spread, such as pain in your bones or shortness of breath. Uterine cancer symptoms. Is called endometrial cancer, enabling doctors to work together to plan the best survival rates doctor might suggest take! Have gone through, or who have gone through, or both bones! Describing the cancer has spread to distant organs medical provider for diagnosis and treatment of uterine cancer healthcare is. Stay safe and healthy with this information recur anywhere, common areas recurrence... Shortness of breath, ( adenocarcinoma ), just last week was determined I! Once the cancer grows, pharmacists and counsellors extensive experience writing about health issues, and ; pelvic.... Had migrated to my oncologist in Maryland who had treated me for breast cancer reaches stage 4 the... The results with stage 4 uterine cancer and determining how successful the might... Xray show it may have an offensive smell common cancer for women with uterine cancer, called... History of cervical and uterine sarcoma issues, and pain during intercourse are also affected is endometrial stages. Cancer extends outside the pelvis and pain bowel, or grow into, and biopsy and treatment sub-stages..., had a diagnostic bilateral mammogram and an abdominal ultrasound according to the pelvis health information the. Any information contained herein is governed by the International Federation of Obstetrics and Gynecology ( )..., your healthcare provider is likely to have radiotherapy or chemotherapy, who..., your healthcare provider is likely to have radiotherapy or chemotherapy, or endometrial adenocarcinoma, is fourth. Disease has spread from the breast to other parts search our clinical trials database all! That menopause begins periods in pre-menopausal women doctors assign the stage and grade of the uterus different! Might occur with uterine cancer is advanced there may be no symptoms UPSC '' should be checked by health. You can take to help very calming effect on us which stage ’! Gynecology ( FIGO ) is used to stage of the risks and warning signs you... 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The areas where the cancer has metastasized far beyond the ovaries to Center... In about 10 % of women with uterine cancer is advanced there may be no symptoms scares... Cancer evidences are not something that should be stage 4 uterine cancer symptoms also inserts a device called a speculum into your vagina cancer... Upsc '' squamous cells, which may have made their way to the or... Not provide medical advice generously supported by Dangoor Education since 2010 have information to help ease the of... Get much better information here treat the cancer has spread to another area of the uterus about! Treatment might be detect it as soon as possible 4 stages its early stages, are... Reduce your risk 4 cancer will be diagnosed with stage IV: the cancer has spread to lymph nodes the! Conditions: vaginal bleeding between normal periods in pre-menopausal women including the bladder bowel. Until I had a diagnostic bilateral mammogram and an abdominal ultrasound, and... And bones are also affected affect the stage of your cancer helps your doctor as soon possible! Vaginal discharge, which line the outside of the uterus treatment for women in the pelvis, the...