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Radiología (English Edition) Staging of endometrial cancer. An illustrated guide to understand and apply the ...
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Vol. 67. Issue 6.
(November - December 2025)
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7
Vol. 67. Issue 6.
(November - December 2025)
Update in Radiology
Staging of endometrial cancer. An illustrated guide to understand and apply the 2023 FIGO system
Estadificación de cáncer de endometrio. Guía ilustrada para comprender y afrontar la clasificación FIGO 2023
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7
A. García Boladoa,b,
Corresponding author
ana.garciab@scsalud.es

Corresponding author.
, E. Julián Gómeza,b, D. Val Garijoc
a Servicio de Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla, Santander, Spain
b Fundación Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain
c Anatomie Pathologique, National Center of Pathology, Laboratoire National de Santé, Dudelange, Luxembourg
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Tables (3)
Table 1. Comparison between current FIGO 2023 classification and previous FIGO 2009 classification.
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Table 2. Classification of endometrial tumours by histology.
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Table 3. FIGO staging of endometrial cancer with molecular classification.
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Abstract

The FIGO (International Federation of Gynaecology and Obstetrics) classification for the staging of endometrial cancer was updated in 2023. This new classification, based on clinicopathological data, represents a challenge for the radiologist, who needs to know histological data before assigning a prognostic stage to the tumour. This article provides the histopathological information necessary for a better understanding of this FIGO 2023 classification. It also presents explanatory graphs and a comparative study with the previous FIGO classification, highlighting the new features and possible errors that can be made, all with the aim of facilitating the radiologist's work.

Keywords:
Endometrial neoplasms, diagnostic imaging
Endometrial neoplasms, pathology
Endometrial neoplasms, classification
FIGO 2023 classification for endometrial cancer
Resumen

El pasado año 2023 se actualizó la clasificación FIGO (Federación Internacional de Ginecología y Obstetricia) para la estadificación del cáncer de endometrio. Esta nueva clasificación, basada en datos clínico-patológicos, representa un reto para el radiólogo, que necesita conocer datos histológicos antes de asignar al tumor una etapa pronóstica. En este artículo se aporta la información histopatológica necesaria para una mejor comprensión de esta clasificación FIGO 2023. Así mismo, se presentan gráficos explicativos y un estudio comparativo con la clasificación FIGO anterior, resaltando aquellas novedades y posibles errores que podemos cometer, todo ello con el objetivo de facilitar el trabajo del radiólogo.

Palabras clave:
Neoplasias endometriales, diagnóstico por imagen
Neoplasias endometriales, patología
Neoplasias endometriales, clasificación
Clasificación FIGO 2023 para el cáncer de endometrio

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