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. 2020 Oct 20;31(4):594–604. doi: 10.1136/ijgc-2020-001822

Table 1.

Different risk groups of endometrial carcinoma

Risk group ESMO-ESGO-ESTRO consensus1 GOG-994 PORTEC-15
Low risk Endometrioid endometrial cancer, grade 1–2, <50% myometrial invasion, lymphovascular space invasion negative Endometrioid endometrial cancer, no myometrial invasion Endometrioid endometrial cancer, any age, grade 1–2
<50% myometrial invasion
Low-intermediate risk Endometrioid endometrial cancer, grade 1–2, ≥50% myometrial invasion, lymphovascular space invasion negative Endometrioid endometrial cancer, not high-intermediate risk Endometrioid endometrial cancer, grade 1–2, age <60, ≥50% myometrial invasion
High-intermediate risk Endometrioid endometrial cancer, grade 3,
<50% myometrial invasion, any lymphovascular space invasion
Endometrioid endometrial cancer, ≥50% with two factors: lymphovascular space invasion, grade 3, ≥66% myometrial invasion age or ≥70% with one factor Endometrioid endometrial cancer, grade 1–2, age ≥60, ≥50% myometrial invasion
Endometrioid endometrial cancer, grade 1–2, lymphovascular space invasion unequivocally positive, any myometrial invasion Endometrioid endometrial cancer, any age, with all factors: grade 3, ≥66% myometrial invasion and lymphovascular space invasion Endometrioid endometrial cancer, grade 3, age ≥60, <50% invasion
High Endometrioid endometrial cancer, grade 3,
≥50% myometrial invasion, any lymphovascular space invasion
Stage II–III endometrioid endometrial cancer Endometrioid endometrial cancer, grade 3, ≥50% myometrial invasion
Stage II–III endometrioid endometrial cancer, no residual disease Stage I–III non-endometrioid endometrial cancer Stage II–III endometrioid endometrial cancer
Non-endometrioid endometrial cancer stage I–III (serous, clear cell, or undifferentiated carcinosarcoma) Stage I–III non-endometrioid endometrial cancer (serous or clear cell)
Advanced/ metastatic Stage III with residual disease and stage IVa
Stage IVb
Stage IV Stage IV

ESGO, European Society of Gynecological Oncology; ESMO, European Society for Medical Oncology; ESTRO, European Society; GOG, Gynaecologic Oncology Group; PORTEC, Post Operative Radiation Therapy for Endometrial Carcinoma.