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 |
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