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. 2019 Apr;31(2):295–305. doi: 10.21147/j.issn.1000-9604.2019.02.04

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