STAGING OF GYN .

ONC

Cervical Cancer
Stage .ZER

Carcinoma in situ, cervical intraepithelial lesion (CIN) 3

Stage I

Carcinoma is strictly confined to cervix (extension to corpus should be disregarded)

Stage IA
Invasion is limited to measured stromal invasion with a maximum depth of 5 mm and no wider than 7mm

IA 1
Measured invasion of stroma no greater than 3 mm in depth and no wider than 7 mm

IA 2.
Measured invasion of stroma greater than 3 mm and no greater than 5 mm in depth and no wider than 7mm

STAGE IB
Clinical lesions confined to the cervix or preclinical lesions greater than IA

IB..1
Clinical lesions no greater than 4 cm in size

IB 2.
Clinical lesions greater than 4 cm in size

STAGE II..
Carcinoma extends beyond cervix but has not extended to pelvic wall; it involves vagina, but not as far as the lower third

IIA
No obvious parametrial involvement

IIB
Obvious parametrial involvement

STAGE III
Carcinoma has extended to the pelvic wall; on rectal examination there is no cancer-free space between tumor and pelvic wall; tumor involves lower third of vagina; all cases with hydronephrosis or nonfunctioning kidney should be included, unless they are known to be due to another cause

III A
No extension to pelvic wall, but involvement of lower third of vagina

IIIB
Extension to pelvic wall, or hydronephrosis or nonfunctioning kidney due to tumor

STAGE IV
Carcinoma has extended beyond true pelvis or has clinically involved mucosa of bladder or rectum

IVA Spread of growth to adjacent pelvic organs

IVB Spread to distant organs

ENDOMETRIAL CANCER
STAGE I

Limited to .Uterus
IA Tumor limited to endometrium IB Tumor invades less than 50% of myometrium IC Tumor invades at least 50% of the myometrium

Stage II.ext to CX
IIA Tumor extends to the glandular epithelium of the endocervix IIB Tumor extends to the stromal connective tissue of the cervix

StageIII
IIIA
Tumor involves serosa and/or adnexa (direct extension or metastasis) and/or cancer cells in ascites or peritoneal washings

IIIB
Vaginal involvement (direct extension or metastasis)

IIIC
Pelvic and/or paraaortic lymph node metastasis

Stage IV IVA Tumor invades bladder mucosa and/or bowel mucosa IVB Distant metastasis (i.e., inguinal nodes, omentum)

OVARIAN CANCER

Stage I
IA Growth limited to one ovary IB Growth limited to both ovaries IC Tumor limited to one or both ovaries, but with disease on the surface of one or both ovaries; or with capsule(s) ruptured; or with malignant ascites or positive peritoneal washings

Stage II
IIA
Extension and/or metastases to the uterus and/or tubes

IIB
Extension to other pelvic tissues IIC

Tumor limited to the genital tract or other pelvic tissues, but with disease on the surface of one or both ovaries; or with capsule(s) ruptured; or with malignant ascites or positive peritoneal washings

StageIII
IIIA Tumor grossly limited to the true pelvis with negative nodes but with histologically confirmed microscopic seeding of abdominal-peritoneal surfaces IIIB Abdominal implants less than 2 cm in diameter with negative nodes IIIC Abdominal implants at least 2 cm in diameter and/or positive pelvic, para-aortic, or inguinal nodes

Stage IV
IV Distant metastases, including malignant pleural effusion or parenchymal liver metastases