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 |
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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 |
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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.