Prognosis of the CC is affected by age, stage, and histology as well as treatment The primary treatment is surgical. FIGO-cancer staging is done at the time of surgery which consists of peritoneal cytology, total hysterectomy, bilateral salpingo-oophorectomy, pelvic/para-aortic lymphadenectomy, and omentectomy. The tumor is aggressive and spreads quickly into the myometrium and the lymphatic system. Thus even in presumed early stages, lymphadenectomy and omentectomy should be included in the surgical approach. If the tumor has spread surgery is cytoreductive followed by radiation therapy and/or chemotherapy. The five years survival was reported to be 68%. Staging<unk>  is staged like other forms of endometrial carcinoma at time of surgery using the International Federation of Gynecology and Obstetrics (FIGO) cancer staging system 2009. IA Tumor confined to the uterus, no or ½ myometrial invasion II Cervical stromal invasion, but not beyond uterus IIIA Tumor invades serosa or adnexa IIIB Vaginal and/or parametrial involvement IIIC1 Pelvic node involvement IIIC2 Para-aortic involvement IVA Tumor invasion bladder and/or bowel mucosa IVB Distant metastases including abdominal metastases and/or inguinal lymph nodes
Uterine clear-cell carcinoma
Endometrial stromal sarcoma
Uterine adenosarcoma
Uterine serous carcinoma
Endometrial stromal tumour
Uterine sarcoma
Clear-cell ovarian carcinoma
Tubular carcinoma