Vaginal cancer staging

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Syed Musadiq Ali M.B.B.S.[2]

Vaginal cancer Microchapters


Patient Information


Historical Perspective




Differentiating Vaginal cancer from other Diseases

Epidemiology and Demographics

Risk Factors


Natural History, Complications and Prognosis


History and Symptoms

Physical Examination


Laboratory Findings

X Ray




Other Imaging Findings

Other Diagnostic Studies


Medical Therapy


Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Vaginal cancer staging On the Web

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Most cited articles

Review articles

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American Roentgen Ray Society Images of Vaginal cancer staging

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Ongoing Trials at Clinical

US National Guidelines Clearinghouse

NICE Guidance

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CDC on Vaginal cancer staging

Vaginal cancer staging in the news

Blogs on Vaginal cancer staging

Directions to Hospitals Treating Vaginal cancer

Risk calculators and risk factors for Vaginal cancer staging


Vaginal cancer may be classified into 4 subtypes based on FIGO or AJCC staging system.


The Féderation Internationale de Gynécologie et d’Obstétrique (FIGO) and the American Joint Committee on Cancer (AJCC) have designated staging to define vaginal cancer; the FIGO system is most commonly used[1]. The definitions of the AJCC's T, N, and M categories correspond to the stages accepted by FIGO.[2]


FIGO staging system (and modified World Health Organization (WHO) prognostic scoring system)[3]

The FIGO staging system is as follows[4]:

This image is provided by the National Library of Medicine.

AJCC Stage Groupings

Stage 0

  • Tis, N0, M0

Stage I

Stage II

  • T2, N0, M0

Stage III

  • T1, N1, M0[6]
  • T2, N1, M0
  • T3, N0, M0
  • T3, N1, M0

Stage IVA

  • T4, any N, M0

Stage IVB

  • Any T, any N, M1


  1. Shrivastava SB, Agrawal G, Mittal M, Mishra P (2015). "Management of Vaginal Cancer". Rev Recent Clin Trials. 10 (4): 289–97. PMID 26411952.
  2. National Cancer Institute. Physician Data Query Database 2015.
  3. Rajaram S, Maheshwari A, Srivastava A (August 2015). "Staging for vaginal cancer". Best Pract Res Clin Obstet Gynaecol. 29 (6): 822–32. doi:10.1016/j.bpobgyn.2015.01.006. PMID 25847318.
  4. Adams TS, Cuello MA (October 2018). "Cancer of the vagina". Int J Gynaecol Obstet. 143 Suppl 2: 14–21. doi:10.1002/ijgo.12610. PMID 30306589.
  5. Jain V, Sekhon R, Giri S, Bora RR, Batra K, Bajracharya A, Rawal S (July 2016). "Role of Radical Surgery in Early Stages of Vaginal Cancer-Our Experience". Int. J. Gynecol. Cancer. 26 (6): 1176–81. doi:10.1097/IGC.0000000000000743. PMID 27327154.
  6. Ikushima H, Wakatsuki M, Ariga T, Kaneyasu Y, Tokumaru S, Isohashi F, Ii N, Uno T, Ohno T, Arisawa K, Toita T (April 2018). "Radiotherapy for vaginal cancer: a multi-institutional survey study of the Japanese Radiation Oncology Study Group". Int. J. Clin. Oncol. 23 (2): 314–320. doi:10.1007/s10147-017-1205-z. PMID 29086206.