Staging With The Figo System
Cervical cancer staging is usually described in terms of the FIGO system, a staging scheme developed by the International Federation of Gynecology and Obstetrics. The FIGO classifications are grouped within basic stages labeled stage 0 through stage IV (0-4):
- Stage 0 - Carcinoma in situ.
Tumor is present only in theepithelium (cells lining the cervix) and has not invaded deeper tissues. - Stage I - Invasive cancer with tumor strictly confined to the cervix.
- Stage IA - In this earliest form of stage I, a very small amount of tumor can be seen under a microscope.
- Stage IA1 - Tumor has penetrated an area less than 3 millimeters deep and less than 7 millimeters wide.
- Stage IA2 - Tumor has penetrated an area 3 to 5 millimeters deep and less than 7 millimeters wide.
- Stage IB - This stage includes tumors that can be seen without a microscope. It also includes tumors that cannot be seen without a microscope but that are more than 7 millimeters wide and have penetrated more than 5 millimeters of connective cervical tissue.
- Stage IB1 - Tumor that is no bigger than 4 centimeters.
- Stage IB2 - Tumor that is bigger than 4 centimeters. Tumor has spread to organs and tissues outside the cervix but is still limited to the pelvic area.
- Stage II - Invasive cancer with tumor extending beyond the cervix and/or the upper two-thirds of the
vagina , but not onto the pelvic wall.- Stage IIA - Tumor has spread beyond the cervix to the upper part of the vagina.
- Stage IIB - Tumor has spread to the tissue next to the cervix.
- Stage III - Invasive cancer with tumor spreading to the lower third of the vagina or onto the pelvic wall; tumor may be blocking the flow of urine from the kidneys to the bladder.
- Stage IIIA - Tumor has spread to the lower third of the vagina.
- Stage IIIB - Tumor has spread to the pelvic wall and/or blocks the flow of urine from the kidneys to the bladder.
- Stage IV - Invasive cancer with tumor spreading to other parts of the body. This is the most advanced stage of cervical cancer.
- Stage IVA - Tumor has spread to organs located near the cervix, such as the bladder or
rectum . - Stage IVB - Tumor has spread to parts of the body far from the cervix.
- Stage IVA - Tumor has spread to organs located near the cervix, such as the bladder or
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