@gratefulcat Your hysterectomy is coming up very soon. I can imagine that you are both worried and anxious. I was very frightened after the doctor called me with the diagnosis. My fear and anxiety went down a little when my appointment with the GYN-Oncologist was scheduled and I knew I was going to get started on treatment. Does this sound familiar to you?

I'm going to call on a few others in our group that can provide you with support @cmb2022 @mary64300 @gynosaur42 @wrightvillebeach @rose53

While we wait for others to respond I'll answer your questions to the best of my knowledge. @esikora already responded to FIGO Grade. That number (1, 2, or 3) is determined by the pathologist who reviewed your biopsy. The FIGO Grade is based on the appearance of the cells and how "organized" they are into a tumor. Here is an explanation.

Endometrial Cancer-FIGO Grade and Stages

-- https://www.cancer.org/cancer/endometrial-cancer/detection-diagnosis-staging/staging.html

Do you know from the pathology report the kind of uterine cancer that you were diagnosed with? Is it adenocarcinoma (the most common kind)? Or clear cell? Or another type? Here is an explanation of the kinds of uterine cancers.

What is endometrial cancer?

-- https://www.cancer.org/cancer/endometrial-cancer/about/what-is-endometrial-cancer.html

Finally, as @esikora wrote you will know whether or not the cancer has spread outside of the uterus after surgery. All of the tissue that is removed during surgery will dissected and placed on slides for a pathologist to view. So, if your fallopian tubes and cervix were removed during surgery, and cancer is not found in the fallopian tube or cervix, and no where else except for the uterus there isn't spread of cancer. This is called the Stage I. Your course of treatment after the hysterectomy will depend on the Stage. Higher Stage numbers such as II, III or IV means that the cancer has spread and more treatment is recommended such as radiation therapy or chemotherapy.

I had endometrial cancer (adenocarcinoma, stage 1a) diagnosed in 2019 so this is how I learned much of what I wrote. Well, that along with all I have learned here on Mayo Clinic Connect.

Does this help? Please let me know if you have any other questions.