Friday, December 10, 2010

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   An abnormal mass of tissue that results from excessive cell division. A tumor may be benign (not cancerous) or malignant (cancerous). is present only in theepithelium   The covering of the internal and the external organs of the body, as well as the lining of vessels, glands, and organs. It consists of cells bound together by connective material, and it varies in the number of layers and the kinds of cells it contains. (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   The passage that connects the female reproductive organs to the outside., 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   Section of the colon where solid waste is stored before passing out of the body..

    • Stage IVB - Tumor has spread to parts of the body far from the cervix.

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