stage IV endometrial stromal sarcoma

Definition of stage IV endometrial stromal sarcoma
National Cancer Institute

stage IV endometrial stromal sarcoma

(... EN-doh-MEE-tree-ul STROH-mul sar-KOH-muh)
Stage IV is divided into stages IVA and IVB. In stage IVA, the tumor has spread to the bladder and/or the rectum. In stage IVB, the tumor has spread to distant parts of the body.

Source: NCI Dictionary of Cancer Terms