Stage |
Characteristics |
I |
The carcinoma is strictly confined to the cervix (extension to the corpus should be disregarded). |
IA |
Invasive cancer identified only microscopically. All gross lesions, even with superficial invasion, are Stage IB cancers. Invasion is limited to a measured stromal invasion with a maximal depth of 5.0 mm and a horizontal extension of ≤ 7.0 mm. Depth of invasion should be ≤ 5.0 mm taken from the base of the epithelium, either surface or glandular, from which it originates. Vascular space involvement, either venous or lymphatic, should not alter the staging. |
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 in depth with an extension of ≤ 7.0 mm |
IB |
Clinical lesions confined to the cervix or preclinical lesions > IA. All gross lesions even with superficial invasion are Stage IB cancers |
IB1 |
Clinical lesions ≤ 4 cm in size. |
IB2 |
Clinical lesions > 4 cm in size. |
II |
The carcinoma extends beyond the cervix, but has not extended onto the pelvic wall; the carcinoma involves the vagina, but not as far as the lower third. |
IIA |
No obvious parametrial involvement. Involvement of up to the upper two‐thirds of the vagina. |
IIB |
Obvious parametrial involvement, but not into the pelvic sidewall. |
III |
The carcinoma has extended onto the pelvic wall; on rectal examination there is no cancer‐free space between the tumour and the pelvic wall; the tumour involves the lower third of the vagina; all cases with a hydronephrosis or non‐functioning kidney should be included, unless they are known to be due to other causes. |
IIIA |
No extension onto the pelvic wall, but involvement of the lower third of the vagina. |
IIIB |
Extension onto the pelvic wall or hydronephrosis or non‐functioning kidney. |
IV |
The carcinoma has extended beyond the true pelvis or has clinically involved the mucosa of the bladder or rectum. |
IVA |
Spread of the growth to adjacent organs. |
IVB |
Spread to distant organs. |