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    Cervical Cancer Treatment (PDQ®): Treatment - Health Professional Information [NCI] - Stage Information for Cervical Cancer

    Table 2. Definitions of FIGO Stage IIa

    Stage Description Illustration
    FIGO = Féderation Internationale de Gynécologie et d'Obstétrique.
    a Adapted from FIGO committee on gynecologic oncology.[3]
    II Cervical carcinoma invades beyond the uterus but not to the pelvic wall or to the lower third of the vagina.
    IIA
    Without parametrial invasion.

    cdr0000658904.jpg
    IIA1 Clinically visible lesion ≤4.0 cm in greatest dimension.
    IIA2 Clinically visible lesion >4.0 cm in greatest dimension.
    IIB With obvious parametrial invasion.

    Table 3. Definitions of FIGO Stage IIIa

    Stage Description Illustration
    FIGO = Féderation Internationale de Gynécologie et d'Obstétrique.
    a Adapted from FIGO committee on gynecologic oncology.[3]
    b On rectal examination, there is no cancer-free space between the tumor and the pelvic wall. All cases with hydronephrosis or nonfunctioning kidney are included, unless they are known to be the result of another cause.
    III The tumor extends to the pelvic wall and/or involves lower third of the vagina and/or causes hydronephrosis or nonfunctioning kidney.b
    IIIA
    Tumor involves lower third of the vagina with no extension to the pelvic wall.

    cdr0000670190.jpg
    IIIB
    Extension to the pelvic wall and/or hydronephrosis or nonfunctioning kidney.

    cdr0000670191.jpg

    Table 4. Definitions of FIGO Stage IVa

    Stage Description Illustration
    FIGO = Féderation Internationale de Gynécologie et d'Obstétrique.
    a Adapted from FIGO committee on gynecologic oncology.[3]
    IV The carcinoma has extended beyond the true pelvis or has involved (biopsy proven) 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.

    cdr0000713967.jpg
    IVB
    Spread to distant organs.

    cdr0000713968.jpg

    References:

    1. Gold MA, Tian C, Whitney CW, et al.: Surgical versus radiographic determination of para-aortic lymph node metastases before chemoradiation for locally advanced cervical carcinoma: a Gynecologic Oncology Group Study. Cancer 112 (9): 1954-63, 2008.
    2. Epstein E, Testa A, Gaurilcikas A, et al.: Early-stage cervical cancer: tumor delineation by magnetic resonance imaging and ultrasound - a European multicenter trial. Gynecol Oncol 128 (3): 449-53, 2013.
    3. Pecorelli S: Revised FIGO staging for carcinoma of the vulva, cervix, and endometrium. Int J Gynaecol Obstet 105 (2): 103-4, 2009.
    4. Cervix uteri. In: Edge SB, Byrd DR, Compton CC, et al., eds.: AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer, 2010, pp 395-402.

    This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http:// cancer .gov or call 1-800-4-CANCER.

    WebMD Public Information from the National Cancer Institute

    Last Updated: May 28, 2015
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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