Table 1.
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.