FIGO Staging System for Cervical Cancer
A Comprehensive and Interactive Learning Experience
Visual Representation
Stages of Cervical Cancer
Stage I
Carcinoma strictly confined to the cervix (extension to uterus not considered).
- IA: Invasive carcinoma diagnosed only by microscopy. Stromal invasion ≤5 mm.
- IA1: Stromal invasion ≤3 mm.
- IA2: Stromal invasion >3 mm and ≤5 mm.
- IB: Stromal invasion >5 mm, limited to cervix.
- IB1: Tumor ≤2 cm.
- IB2: Tumor >2 cm and ≤4 cm.
- IB3: Tumor >4 cm.
Stage II
Carcinoma extends beyond cervix but not to pelvic wall or lower third of vagina.
- IIA: Without parametrial invasion.
- IIA1: Tumor ≤4 cm.
- IIA2: Tumor >4 cm.
- IIB: With parametrial invasion, not to pelvic wall.
Stage III
Tumor involves lower third of vagina, pelvic wall, or lymph nodes.
- IIIA: Lower third of vagina, no pelvic wall extension.
- IIIB: Pelvic wall extension or hydronephrosis/non-functioning kidney.
- IIIC: Pelvic/para-aortic lymph node involvement.
- IIIC1: Pelvic lymph nodes.
- IIIC2: Para-aortic lymph nodes.
Stage IV
Carcinoma extends beyond true pelvis or involves bladder/rectum mucosa.
- IVA: Spread to adjacent pelvic organs (bladder/rectum), confirmed by biopsy.
- IVB: Distant metastasis (e.g., lungs, liver, bone).
Key Information
- Imaging (MRI, CT, PET-CT) and pathological findings enhance clinical staging accuracy.
- Clinical examination remains the cornerstone, particularly in resource-limited settings.
- FIGO emphasizes precise tumor measurement and lymph node evaluation for optimal treatment planning.
- Stage IIIC, introduced in the 2018 FIGO update, highlights the prognostic importance of lymph node status.
Test Your Understanding
1. What defines Stage IA1 in the FIGO staging system?
2. Which stage involves pelvic lymph node involvement?
3. What is true about Stage IIB?
4. Stage IVB is characterized by:
5. When was Stage IIIC introduced in the FIGO system?
Comments
Post a Comment