Table 1

Different risk groups of endometrial carcinoma

Risk groupESMO-ESGO-ESTRO consensus1GOG-994PORTEC-15
Low riskEndometrioid endometrial cancer, grade 1–2, <50% myometrial invasion, lymphovascular space invasion negativeEndometrioid endometrial cancer, no myometrial invasionEndometrioid endometrial cancer, any age, grade 1–2
<50% myometrial invasion
Low-intermediate riskEndometrioid endometrial cancer, grade 1–2, ≥50% myometrial invasion, lymphovascular space invasion negativeEndometrioid endometrial cancer, not high-intermediate riskEndometrioid endometrial cancer, grade 1–2, age <60, ≥50% myometrial invasion
High-intermediate riskEndometrioid 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 factorEndometrioid endometrial cancer, grade 1–2, age ≥60, ≥50% myometrial invasion
Endometrioid endometrial cancer, grade 1–2, lymphovascular space invasion unequivocally positive, any myometrial invasionEndometrioid endometrial cancer, any age, with all factors: grade 3, ≥66% myometrial invasion and lymphovascular space invasionEndometrioid endometrial cancer, grade 3, age ≥60, <50% invasion
HighEndometrioid endometrial cancer, grade 3,
≥50% myometrial invasion, any lymphovascular space invasion
Stage II–III endometrioid endometrial cancerEndometrioid endometrial cancer, grade 3, ≥50% myometrial invasion
Stage II–III endometrioid endometrial cancer, no residual diseaseStage I–III non-endometrioid endometrial cancerStage 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/ metastaticStage III with residual disease and stage IVa
Stage IVb
Stage IVStage 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.