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Cancer of the vagina TNM staging AJCC UICC 8th edition

Cancer of the vagina TNM staging AJCC UICC 8th edition
The definitions of the T categories correspond to the stages accepted by the Fédération Internationale de Gynécologie et d'Obstétrique (FIGO). Both systems are included for comparison.
Primary tumor (T)
T category FIGO stage T criteria
TX   Primary tumor cannot be assessed
T0   No evidence of primary tumor
T1 I Tumor confined to the vagina
T1a I Tumor confined to the vagina, measuring ≤2.0 cm
T1b I Tumor confined to the vagina, measuring >2.0 cm
T2 II Tumor invading paravaginal tissues but not to pelvic sidewall
T2a II Tumor invading paravaginal tissues but not to pelvic wall, measuring ≤2.0 cm
T2b II Tumor invading paravaginal tissues but not to pelvic wall, measuring >2.0 cm
T3 III Tumor extending to the pelvic sidewall* and/or causing hydronephrosis or nonfunctioning kidney
T4 IVA Tumor invading the mucosa of the bladder or rectum and/or extending beyond the true pelvis (bullous edema is not sufficient evidence to classify a tumor as T4)
* "Pelvic sidewall" is defined as the muscle, fascia, neurovascular structures, or skeletal portions of the bony pelvis. On rectal examination, there is no cancer-free space between the tumor and pelvic sidewall.
Regional lymph nodes (N)
N category FIGO stage N criteria
NX   Regional lymph nodes cannot be assessed
N0   No regional lymph node metastasis
N0(i+)   Isolated tumor cells in regional lymph node(s) no greater than 0.2 mm
N1 III Pelvic or inguinal lymph node metastasis
Distant metastasis (M)
M category FIGO stage M criteria
M0   No distant metastasis
M1 IVB Distant metastasis
Prognostic stage groups
When T is... And N is... And M is... Then the stage group is...
T1a N0 M0 IA
T1b N0 M0 IB
T2a N0 M0 IIA
T2b N0 M0 IIB
T1-T3 N1 M0 III
T3 N0 M0 III
T4 Any N M0 IVA
Any T Any N M1 IVB
TNM: tumor, node, metastasis; AJCC: American Joint Committee on Cancer; UICC: Union for International Cancer Control.
Used with permission of the American College of Surgeons, Chicago, Illinois. The original source for this information is the AJCC Cancer Staging Manual, Eighth Edition (2017) published by Springer International Publishing. Corrected at 4th printing, 2018.
Graphic 110815 Version 10.0

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