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Stage 3

This stage means the cancer has spread outside the womb, but is still within the pelvis. Your doctor may call this locally advanced womb cancer. There are 3 categories of stage 3 womb cancer:
  • 3A means the cancer has grown into the outer covering of the womb (the serosa), or to the ovaries or fallopian tubes
  • 3B means the cancer has grown into the vagina or the tissues surrounding the womb (parametrium)
  • 3C means the cancer has spread to nearby lymph nodes (glands)
Stage 3 womb cancer.jpg

Treatment

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

You may have surgery to remove your cancer. This depends on how far your cancer has spread.

Your surgeon (gynaecological oncologist) removes your womb and cervix (hysterectomy), and both ovaries and fallopian tubes. They may also remove the top of your vagina and some of the surrounding tissue.

They may also remove lymph nodes in your pelvis.

Treatment after surgery

You have radiotherapy and possibly chemotherapy after surgery for stage 3 womb cancer. This treatment is to kill off any cancer cells that may be left after surgery, and to help stop the cancer from coming back.

If you can't have surgery

You usually have radiotherapy and chemotherapy, or hormone therapy, if you can't have surgery for stage 3 womb cancer. This might be because you are not fit enough for surgery, your cancer is too difficult to completely remove or you have chosen not to have surgery.

In some cases, you may have chemotherapy first. Sometimes after a few cycles of chemotherapy, the cancer may have shrunk enough to make surgery possible.

Last reviewed: 
31 Jan 2020
  • Cancer of the corpus uteri (FIGO Cancer Report 2018)

    F Amant and others (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

    N Columbo and others (2016) 

    Annals of Oncology 27: 16–41

  • BGCS Uterine Cancer Guidelines: Recommendations for Practice 

    S Sundar and others (2017)

Information and help