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. 2022 Jun 30;34(3):256–269. doi: 10.21147/j.issn.1000-9604.2022.03.06

Table 2. Cervical cancer staging based on FIGO 2018 guidelines.

Stage Definition
FIGO, the International Federation of Gynecology and Obstetrics.
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 maximum depth of invasion ≤5 mm
IA1: Measured stromal invasion ≤3 mm in depth
IA2: Measured stromal invasion >3 mm and ≤5 mm in depth
 IB Invasive carcinoma with measured deepest invasion >5 mm (greater than stage IA); lesions limited to the cervix uteri with size measured by maximum tumor diameter
IB1: Invasive carcinoma >5 mm depth of stromal invasion and ≤2 cm in greatest dimension
IB2: Invasive carcinoma >2 cm and ≤4 cm in greatest dimension
IB3: Invasive carcinoma >4 cm in greatest dimension
Stage II The cervical carcinoma invades beyond the uterus, but has not extended to the lower third of the vagina or the pelvic wall
 IIA Involvement limited to the upper two-thirds of the vagina without parametrial invasion
IIA1: Invasive carcinoma ≤4 cm in greatest dimension
IIA2: Invasive carcinoma >4 cm in greatest dimension
 IIB With parametrial invasion but not up to the pelvic wall
Stage III The carcinoma involves the lower third of the vagina and/or extends to the pelvic wall and/or causes hydro-nephrosis or non-functioning kidney and/or involves pelvic and/or para-aortic lymph nodes
 IIIA Carcinoma involves lower third of the vagina, with no extension to the pelvic wall
 IIIB Extension to the pelvic wall and/or hydro-nephrosis or non-functioning kidney (unless known to be due to another cause)
 IIIC Involvement of pelvic and/or para-aortic lymph nodes (including micro-metastases), irrespective of tumor size and extent (with r and p notations).
IIIC1: Pelvic lymph node metastasis only
IIIC2: Para-aortic lymph node metastasis
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