TABLE 1
FROM:
Recommendations for the Reporting of Surgical Specimens Containing Uterine Cervical Neoplasms
BACK TO ARTICLETABLE 1. 1995 Revision of International Federation of Gynecologists and Obstetricians (FIGO) Staging of Carcinoma of the Cervix Uteri
| Stage | Description |
|---|---|
| 0 | Carcinoma in situ, intraepithelial carcinoma |
| I | The carcinoma is strictly confined to the cervix |
| IA | Invasive cancer identified only microscopically. All gross lesions even with superficial invasion are stage IB cancers. Invasion is limited to measured stromal invasion with maximum depth of 5 mm and no wider than 7 mma |
| IA1 | Measured invasion of stroma no greater than 3 mm in depth and no wider than 7 mm |
| IA2 | Measured invasion of stroma greater than 3 mm and no greater than 5 mm, and no wider than 7 mm |
| IB | Clinical lesions confined to the cervix or preclinical lesions greater than stage IA |
| IB1 | Clinical lesions no greater than 4 cm in size |
| IB2 | Clinical lesions greater than 4 cm in size |
| II | The carcinoma extends beyond the cervix but has not extended to the pelvic wall; the carcinoma involves the vagina but not as far as the lower third |
| IIA | No obvious parametrial involvement |
| IIB | Obvious parametrial involvement |
| III | The carcinoma has extended to the pelvic wall. On rectal examination, there is no cancer-free space between the tumor and pelvic wall; the tumor involves the lower third of the vagina; all cases with hydronephrosis or nonfunctioning kidney are included unless they are known to be a result of other causes |
| IIIA | No extension to the pelvic wall |
| IIIB | Extension to the pelvic wall and/or hydronephrosis or nonfunctioning kidney |
| IV | The carcinoma has extended beyond the true pelvis or has clinically involved the mucosa of the bladder or rectum; a bullous edema as such does not permit a case to be allotted to stage IV |
| IVA | Spread of the growth to adjacent organs |
| IVB | Spread to distant organs |
a The depth of invasion should not be more than 5 mm taken from the base of the epithelium, either surface or glandular, from which it originates. Vascular space involvement, either venous or lymphatic, should not alter the staging.
