This means the cancer has grown into the cervix.
The stage of your cancer helps your doctor to decide which treatment you need. Treatment also depends on:
- the type of womb cancer you have
- how the cancer is likely to behave (the grade)
- your general health
- your preferences
Surgery is the main treatment for stage 2 womb cancer.
Your surgeon (gynaecological oncologist) removes your womb and cervix (hysterectomy), and usually both ovaries and fallopian tubes. Sometimes they also remove the top of your vagina and some of the surrounding tissue.
They may also remove lymph nodes in your pelvis to check for cancer cells.
If you can't have surgery for any reason, you usually have radiotherapy instead.
Treatment after surgery
Treatment after surgery is called adjuvant treatment. It lowers the chance of the cancer coming back.
You normally have radiotherapy after surgery for stage 2 womb cancer.
You usually have both external radiotherapy and internal radiotherapy (brachytherapy). You might not need external radiotherapy if they remove your lymph nodes during surgery.
Some women have chemotherapy as well as radiotherapy after surgery. This is more likely if you have a type 2 endometrial cancer (such as serous carcinoma), or have carcinosarcoma of the womb.