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What is endometrioid adenocarcinoma?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 46-year-old woman. I have seven children, and I have never had an abortion. These are my findings:

  1. Diagnosis: Endometrioid adenocarcinoma G3 with comedo component.
  2. FIGO stage IV - Advanced and metastatic.
  3. Recommendation: Systemic treatment is required; chemotherapy and/or immunotherapy are to be considered, depending on molecular findings.

Can you explain to me what it is? Is it cancer?

Kindly guide.

Thank you.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I am truly sorry you are going through this. I will explain your diagnosis in simple terms so it is easier to understand.

Yes, this is a type of cancer.

Specifically, it is a cancer of the lining of the uterus (the endometrium) called endometrioid adenocarcinoma G3 (grade 3).

Here is what each part of your report means:

Endometrioid adenocarcinoma is a type of uterine cancer (womb cancer). It starts in your endometrium, the inner lining of the uterus. Adenocarcinoma is a cancer that starts from gland-like cells. Grade 3 means the cancer cells look very different from normal cells and are growing more aggressively.

Higher grade refers to more aggressive behavior and faster growth. The comedo component means part of the tumor has dead cells (necrosis) in the center, a feature usually seen in more aggressive forms of cancer.

FIGO (International Federation of Gynecology and Obstetrics) is a staging system for gynecologic cancers. Stage IV means your cancer has spread beyond the uterus, possibly to other organs (like the bladder, rectum, or distant areas such as the lungs or liver). This is considered advanced or metastatic cancer.

Treatment recommendation: Since it is advanced, surgery alone is not enough.

The team suggests chemotherapy (drugs to kill cancer cells) for you. Possibly immunotherapy, depending on molecular tests (they will test your tumor to see if you are eligible).

You will likely need:

  1. Molecular testing of your tumor, like MSI (microsatellite instability), p53 (p53 protein), MMR (mismatch repair), or HER2 status (human epidermal growth factor receptor 2).
  2. CT (computed tomography) or PET (positron emission tomography) scan to check how far the cancer has spread.
  3. A team of doctors (a gynecologic oncologist and a medical oncologist) will plan your treatment.

A quick question:

  1. Do you have any symptoms now, like bleeding, weight loss, fatigue, or pain?

You are not alone in this. Let me know how I can support you, whether it is understanding treatment options and side effects or getting a second opinion.

I hope this information helps you.

Take care.

Medically reviewed by iCliniq medical review team
Published At May 29, 2025
Reviewed At April 17, 2026

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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