Uterine (womb) cancer

Diagnosis and tests

Diagnosing uterine (womb) cancer

Your family doctor (GP) will talk to you about your symptoms. Your GP will refer you to hospital if they think you need more tests.

Tests at the hospital include:

A small metal device called a probe is gently put into your vagina. It uses sound waves to build up a picture of the tissues in your womb. This test is not painful but may be a little uncomfortable.

A thin, flexible tube with a light at the end (a hysteroscope) is passed through your vagina and into your uterus. This allows your doctor to look inside your uterus and take tissue samples or a biopsy. You may be given a local anaesthetic for this test.

Your doctor can take small amounts of tissue samples from your uterus during the hysteroscopy. These are called biopsies. Biopsies are sent to a laboratory and looked at under a microscope to find out if cancer cells are present.

Here the doctor gently opens your cervix and entrance to the uterus and takes samples of tissue from the inner lining of your uterus. This is done with an instrument shaped like a spoon called a curette. The samples are then sent to the laboratory to be examined. This test is done under general anaesthetic.

A gynaecologist is a doctor who specialises in treating problems with women’s reproductive systems, e.g. vagina, vulva, uterus and ovaries.

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If you are diagnosed with uterine (womb) cancer, we're here for you. 
Our cancer nurses are here if you need information or just want to talk. They can help you to understand your diagnosis and what to expect, send you information and tell you about our services. 

Further tests for uterine (womb) cancer

You may have more tests after your diagnosis to find out:

  • How large is the cancer?
  • Where exactly is the cancer?
  • Has the cancer spread to any other parts of your body?

This is called staging. Staging tests for uterine cancer include:

A thin, flexible tube with a light at the end (a hysteroscope) is passed through your vagina and into your uterus. This allows your doctor to look inside your uterus and take tissue samples (biopsies). You may be given a local anaesthetic for this test.

This is a type of X-ray that gives a detailed picture of the tissues inside your body.

Read more about CT scans.

This is a scan that uses magnetic energy and radio waves to build up a picture of the tissues inside your body. During the scan you will lie inside a tunnel-like machine. 

Read more about MRI scans.

A scan that gives a detailed picture of the tissues inside your body. A low dose of radiotracer (radioactive sugar) is injected into your arm. The scan uses the radiotracer to highlight cancer cells in your body. 

Read more about PET - CT scans.

A small metal device called a probe is gently put into your vagina. It uses sound waves to build up a picture of the tissues in your uterus.

Here the doctor gently opens your cervix and entrance to the uterus and takes samples of tissue from the inner lining of your uterus. This is done with an instrument shaped like a spoon called a curette. The samples are then sent to the laboratory to be examined. This test is done under general anaesthetic.

Injecting a radioactive liquid that will show up lymph nodes that have cancer cells. It can tell if the cancer has spread.

Read more about having a sentinel node biopsy.

Waiting for test results

While some results may come back quickly, others may take a few weeks. Waiting for results can be an anxious time. It may help to talk things over with your doctor or nurse or with a relative or close friend. You can also call our Support Line on 1800 200 700 or visit a Daffodil Centre to speak to a cancer nurse.

Grading of uterine (womb) cancer

Knowing the grade and stage of your cancer helps your team to plan the best treatment for you. 

Grading describes the cancer cells – what they look like under a microscope and how they might grow.

Staging describes where the cancer is in your body.

Grading describes how quickly the cancer may grow and spread. 

Low-grade uterine (womb) cancer

The cancer cells look only slightly abnormal, much like normal uterine cells. The cancer is usually slow-growing and less likely to spread than high-grade uterine cancer.

High-grade uterine (womb) cancer

The cancer cells look fairly or very abnormal and are more likely to grow quickly. 

Staging of uterine (womb) cancer?

Staging describes how far the cancer has spread through the uterus lining and muscle layers. Staging also describes if the cancer is still in the pelvic area or has spread to other distant organs (metastasis). Staging will help your doctor to plan the best treatment for you.

In cancer of the uterus there are two different staging systems. 

  • TNM staging system
  • FIGO staging system 

TNM staging

  • Tumour (T): The size and depth of the tumour.
  • Node (N): Is there cancer in your lymph nodes? N0 mean no lymph nodes affected, N1, N2, N3 refer to the number of lymph nodes affected and where they are located.
  • Metastasis (M): M1 means the cancer has spread to other parts of your body and M0 means it hasn’t.

Your doctor often uses this information to give your cancer a number stage – from 1 to 4. A higher number, such as stage 4, means a more advanced cancer. Some stages are further divided into stage A and B.

FIGO staging

The FIGO staging system is similar. The different stages are given a number I (1) to IV (4). 

Each number stage is sub divided using letters a, b and c. For example, stage Ia, stage IIc, etc. Again, the higher the letter and number within each stage, the more advanced the disease.

Staging can be hard to understand, so ask your doctor and nurse for more information if you need it.


Continue reading about uterine (womb) cancer

Read next Treatment for uterine (womb) cancer

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