- 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)
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
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.