2.
Cervical cancer staging based on International Federation of Gynaecology and Obstetrics (FIGO 2009) guidelines
| Stage | Definition |
| Stage I | The carcinoma is strictly confined to the cervix (extension to the corpus would be disregarded) |
| IA | Invasive carcinoma which can be diagnosed only by microscopy, with the deepest invasion ≤5 mm and the largest extension ≥7 mm |
| IA1: Measured stromal invasion of ≤3.0 mm in depth and extension of ≤7.0 mm | |
| IA2: Measured stromal invasion of >3.0 mm and ≤5.0 mm with an extension of ≤7.0 mm | |
| IB | Clinically visible lesions limited to the cervix uteri or pre-clinical cancers greater than stage IA |
| IB1: Clinically visible lesion ≤4.0 cm in greatest dimension | |
| IB2: Clinically visible lesion >4.0 cm in greatest dimension | |
| Stage 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 |
| 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 |
| Stage III | The tumor extends to the pelvic wall and/or involves lower third of the vagina and/or causes hydronephrosis or
non-functioning kidney |
| IIIA | Tumor involves lower third of the vagina, with no extension to the pelvic wall |
| IIIB | Extension to the pelvic wall and/or hydronephrosis or non-functioning kidney |
| Stage 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 to adjacent organs |
| IVB | Spread to distant organs |