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. 2016 Apr 28;8(4):342–354. doi: 10.4329/wjr.v8.i4.342

Table 1.

Uterine cervical cancer classification system (as proposed by the International Federation of Gynecology and Obstetrics, 2009)

Stage Sub-stage Sub-stage
(description) (description) (description)
In situ
I IA IA1
Tumor confined to the cervix (may extend to the uterine corpus) Miscroscopic tumor: Depth of invasion ≤ 5 mm, horizontal spread ≤ 7 mm Depth of invasion ≤ 3 mm, horizontal spread ≤ 7 mm
IA2
Depth of invasion > 3 mm and ≤ 5 mm, horizontal spread ≤ 7 mm
IB IB1
Macroscopically visible tumor Lesion of maximal diameter ≤ 4 cm
IB2
Lesion of maximal diameter > 4 cm
II IIA IIA1
Cervical carcinoma extends to the upper vagina or parametrium Cervical cancer extents to the upper 2/3 of the vagina Lesion of maximal diameter ≤ 4 cm
IIA2
Lesion of maximal diameter > 4 cm
IIB
Tumor invades parametrial space (uni- and/or bilateral)
III IIIA
Cervical cancer invades pelvic sidewall and/or lower 1/3 vagina and/or causes hydronephrosis Tumor invades lower 1/3 of vagina
IIIB
Tumor invades pelvic wall and/or ureter causing hydronephrosis
IV IVA
Cervical cancer invades adjacent pelvic organs and/or extending distally (beyond the pelvis) Bladder and/or rectal mucosa invasion
IVB
Distant metastasis, peritoneal or paraaortic node involvement