{"id":8661,"date":"2021-06-25T14:23:53","date_gmt":"2021-06-25T14:23:53","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=8661"},"modified":"2026-01-05T18:51:03","modified_gmt":"2026-01-05T18:51:03","slug":"endometrial-cancer","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/endometrial-cancer\/","title":{"rendered":"Sistemas de Estadificaci\u00f3n para C\u00e1ncer de Endometrio"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La estadificaci\u00f3n se realiza con el uso del sistema de la Federaci\u00f3n Internacional de Ginecolog\u00eda y Obstetricia (FIGO) y el sistema de tumor-ganglio-met\u00e1stasis (TNM). <!--more--><\/p>\n<p><strong>Sistemas de Estadificaci\u00f3n para C\u00e1ncer de Endometrio<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 816px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"width: 99.9999%; text-align: center; height: 24px;\" colspan=\"3\"><strong>Tumor Primario(T)<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 14.3963%; text-align: center; height: 48px;\">Sistema TNM,<br \/>\ncategor\u00eda T<\/td>\n<td style=\"width: 8.79384%; text-align: center; height: 48px;\">Sistema<br \/>\nFIGO<\/td>\n<td style=\"width: 76.8098%; height: 48px;\">Criterios T<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; text-align: center; height: 24px;\">TX<\/td>\n<td style=\"width: 8.79384%; height: 24px;\"><\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Tumor primario no puede ser evaluado<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; text-align: center; height: 24px;\">T0<\/td>\n<td style=\"width: 8.79384%; height: 24px;\"><\/td>\n<td style=\"width: 76.8098%; height: 24px;\">No se encuentra evidencia de tumor\u00a0primario<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; text-align: center; height: 24px;\">T1<\/td>\n<td style=\"width: 8.79384%; text-align: center; height: 24px;\">I<\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Tumor confinado al cuerpo uterino, incluyendo compromiso glandular endocervical<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; text-align: center; height: 24px;\">T1a<\/td>\n<td style=\"width: 8.79384%; text-align: center; height: 24px;\">IA<\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Tumor limitado al endometrio o invadiendo menos de la mitad del miometrio<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; text-align: center; height: 24px;\">T1b<\/td>\n<td style=\"width: 8.79384%; text-align: center; height: 24px;\">IB<\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Tumor que invade la mitad o m\u00e1s del miometrio<\/td>\n<\/tr>\n<tr style=\"height: 72px;\">\n<td style=\"width: 14.3963%; text-align: center; height: 72px;\">T2<\/td>\n<td style=\"width: 8.79384%; text-align: center; height: 72px;\">II<\/td>\n<td style=\"width: 76.8098%; height: 72px;\">Tumor que invade el tejido conjuntivo estromal del cuello uterino, pero que no se extiende m\u00e1s all\u00e1 del \u00fatero<br \/>\nNo incluye afectaci\u00f3n glandular endocervical<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; text-align: center; height: 24px;\">T3<\/td>\n<td style=\"width: 8.79384%; text-align: center; height: 24px;\">III<\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Tumor que afecta serosa, anexos, vagina o parametrio<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; text-align: center; height: 24px;\">T3a<\/td>\n<td style=\"width: 8.79384%; text-align: center; height: 24px;\">IIIA<\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Tumor que afecta la serosa, los anexos o ambos (extensi\u00f3n directa o met\u00e1stasis)<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; text-align: center; height: 24px;\">T3b<\/td>\n<td style=\"width: 8.79384%; text-align: center; height: 24px;\">IIIB<\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Afectaci\u00f3n vaginal (extensi\u00f3n directa o met\u00e1stasis) o afectaci\u00f3n parametrial<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 14.3963%; text-align: center; height: 48px;\">T4<\/td>\n<td style=\"width: 8.79384%; text-align: center; height: 48px;\">IV<\/td>\n<td style=\"width: 76.8098%; height: 48px;\">Tumor que invade la mucosa de la vejiga, la mucosa intestinal o ambas<br \/>\nEl edema bulloso no es suficiente para clasificar un tumor como T4<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 99.9999%; text-align: center; height: 24px;\" colspan=\"3\"><strong>Ganglios linf\u00e1ticos regionales (N)<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 14.3963%; height: 48px; text-align: center;\">Sistema TNM,<br \/>\ncategor\u00eda N<\/td>\n<td style=\"width: 8.79384%; height: 48px; text-align: center;\">Sistema<br \/>\nFIGO<\/td>\n<td style=\"width: 76.8098%; height: 48px;\">Criterios N<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; height: 24px; text-align: center;\">NX<\/td>\n<td style=\"width: 8.79384%; height: 24px;\"><\/td>\n<td style=\"width: 76.8098%; height: 24px;\">No se pueden evaluar los ganglios linf\u00e1ticos regionales<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; height: 24px; text-align: center;\">N0<\/td>\n<td style=\"width: 8.79384%; height: 24px;\"><\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Sin met\u00e1stasis en los ganglios linf\u00e1ticos regionales<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; height: 24px; text-align: center;\">N0(i+)<\/td>\n<td style=\"width: 8.79384%; height: 24px;\"><\/td>\n<td style=\"width: 76.8098%; height: 24px;\">C\u00e9lulas tumorales aisladas en ganglio linf\u00e1tico regional, \u2264 0,2 mm de di\u00e1metro<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 14.3963%; height: 48px; text-align: center;\">N1mi<\/td>\n<td style=\"width: 8.79384%; height: 48px; text-align: center;\">IIIC1<\/td>\n<td style=\"width: 76.8098%; height: 48px;\">Micromet\u00e1stasis de los ganglios linf\u00e1ticos regionales (&gt; 0,2 mm a 2,0 mm de di\u00e1metro) a los ganglios linf\u00e1ticos p\u00e9lvicos<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; height: 24px; text-align: center;\">N1<\/td>\n<td style=\"width: 8.79384%; height: 24px; text-align: center;\">IIIC1<\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Macromet\u00e1stasis de ganglios linf\u00e1ticos regionales (&gt; 2,0 mm de di\u00e1metro) a ganglios linf\u00e1ticos p\u00e9lvicos<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 14.3963%; height: 48px; text-align: center;\">N2mi<\/td>\n<td style=\"width: 8.79384%; height: 48px; text-align: center;\">IIIC2<\/td>\n<td style=\"width: 76.8098%; height: 48px;\">Micromet\u00e1stasis de los ganglios linf\u00e1ticos regionales (&gt; 0,2 mm a 2,0 mm de di\u00e1metro) a los ganglios linf\u00e1ticos paraa\u00f3rticos, con o sin ganglios linf\u00e1ticos p\u00e9lvicos positivos<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 14.3963%; height: 48px; text-align: center;\">N2<\/td>\n<td style=\"width: 8.79384%; height: 48px; text-align: center;\">IIIC2<\/td>\n<td style=\"width: 76.8098%; height: 48px;\">Macromet\u00e1stasis de ganglios linf\u00e1ticos regionales (&gt; 2,0 mm de di\u00e1metro) a ganglios linf\u00e1ticos paraa\u00f3rticos, con o sin ganglios linf\u00e1ticos p\u00e9lvicos positivos<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 99.9999%; height: 24px; text-align: center;\" colspan=\"3\"><strong>Met\u00e1stasis a distancia (M)<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; height: 24px; text-align: center;\">Sistema TNM,<br \/>\ncategor\u00eda M<\/td>\n<td style=\"width: 8.79384%; height: 24px; text-align: center;\">Sistema<br \/>\nFIGO<\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Criterios M<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; height: 24px; text-align: center;\">cM0<\/td>\n<td style=\"width: 8.79384%; height: 24px;\"><\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Sin met\u00e1stasis a distancia en la evaluaci\u00f3n cl\u00ednica (c)<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; height: 24px; text-align: center;\">cM1<\/td>\n<td style=\"width: 8.79384%; height: 24px; text-align: center;\">IVB<\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Met\u00e1stasis a distancia (incluye met\u00e1stasis a los ganglios linf\u00e1ticos inguinales, pulm\u00f3n, h\u00edgado o huesos o enfermedad intraperitoneal)<br \/>\nTambi\u00e9n incluye met\u00e1stasis a ganglios linf\u00e1ticos p\u00e9lvicos o paraa\u00f3rticos, vagina, serosa uterina o anexos.<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 14.3963%; height: 24px; text-align: center;\">pM1<\/td>\n<td style=\"width: 8.79384%; height: 24px; text-align: center;\">IVB<\/td>\n<td style=\"width: 76.8098%; height: 24px;\">Met\u00e1stasis a distancia (incluye met\u00e1stasis a ganglios linf\u00e1ticos inguinales, h\u00edgado o hueso o enfermedad intraperitoneal) confirmada microsc\u00f3picamente en la evaluaci\u00f3n patol\u00f3gica (p)<br \/>\nExcluye met\u00e1stasis a ganglios linf\u00e1ticos p\u00e9lvicos o paraa\u00f3rticos, vagina, serosa uterina o anexos<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Lu KH, Broaddus RR. Endometrial Cancer. N Engl J Med. 2020 Nov 19;383(21):2053-2064. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33207095\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>McCluggage WG. Pathologic Staging of Endometrial Carcinomas: Selected Areas of Difficulty. Adv Anat Pathol. 2018 Mar;25(2):71-84. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29356713\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Jun 18, 2021.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La estadificaci\u00f3n se realiza con el uso del sistema de la Federaci\u00f3n Internacional de Ginecolog\u00eda y Obstetricia (FIGO) y el sistema de tumor-ganglio-met\u00e1stasis (TNM).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[87],"tags":[322,2389,2391,840,494,835,798],"class_list":["post-8661","post","type-post","status-publish","format-standard","hentry","category-obstetrics-gynecology","tag-cancer","tag-endometrial","tag-endometrio","tag-estadificacion","tag-sistema","tag-staging","tag-systems"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/8661","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=8661"}],"version-history":[{"count":10,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/8661\/revisions"}],"predecessor-version":[{"id":8697,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/8661\/revisions\/8697"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=8661"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=8661"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=8661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}