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. 2022 Aug 22;2022(8):CD010260. doi: 10.1002/14651858.CD010260.pub3

1. Comparison of 2009 and 2018 FIGO staging of cervical cancer.

Stage I (2018): carcinoma strictly confined to the cervix (extension to the uterine corpus should be disregarded)
2009 FIGO stage: description 2018 FIGO stage: description Comment
IA: invasive carcinoma diagnosed only by microscopy, with maximum depth of invasion </= 5 mm and largest extension </= 7 mm IA: invasive carcinoma diagnosed only by microscopy, with maximum depth of invasion < 5 mm – Lateral extent of the carcinoma is no longer considered in distinguishing between FIGO Stage IA and IB carcinomas
– If margins of loop are involved patient is allocated to Stage IB1
  • IA1: measured stromal invasion < 3 mm in depth and extension </= 7 mm

  • IA1: measured stromal invasion < 3 mm in depth

  • IA2: measured stromal invasion >/= 3 mm and < 5 mm in depth and extension </= 7 mm

  • IA2: measured stromal invasion >/= 3 mm and < 5 mm in depth

IB: clinically visible lesions limited to the cervix or preclinical cancers greater than Stage IA  IB: invasive carcinoma with measured deepest invasion >/= 5 mm (greater than Stage IA), lesion limited to the cervix uteri – See above
– LVSI must be commented upon, although does not affect FIGO stage
  • IB1: clinically visible lesion </= 4 cm in greatest dimension

IB1: invasive carcinoma >/= 5 mm depth of stromal invasion, and < 2 cm in greatest dimension – New stage category
IB2: invasive carcinoma >/= 2 cm and < 4 cm in greatest dimension – New stage category
IB2: invasive carcinoma > 4 cm in greatest dimension IB3: invasive carcinoma >/= 4 cm in greatest dimension – New stage category

Adapted from Singh 2019.
LVSI: lymphovascular space invasion.